| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.18 | $137.18 | $158.28 | |
Aetna
| Professional | $125.93 | $137.18 | $160.68 | |
Anthem BCBS
| Facility | $401.70 | $401.70 | $401.70 | |
Anthem BCBS
| Professional | $176.43 | $183.50 | $401.70 | |
Cigna
| Facility | $218.57 | $218.57 | $295.73 | |
Cigna
| Professional | $159.56 | $218.57 | $265.49 | |
Hometown Health
| Professional | $223.38 | $321.36 | $522.21 | |
United
| Professional | $117.68 | $150.31 | $250.51 |