| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.24 | $188.24 | $217.20 | |
Aetna
| Professional | $102.00 | $217.20 | $303.00 | |
Anthem BCBS
| Facility | $551.21 | $551.21 | $551.21 | |
Anthem BCBS
| Professional | $230.00 | $295.44 | $672.68 | |
Cigna
| Facility | $315.25 | $315.25 | $405.79 | |
Cigna
| Professional | $230.13 | $315.25 | $357.50 | |
Hometown Health
| Professional | $306.52 | $440.97 | $716.57 | |
United
| Professional | $197.07 | $251.69 | $368.30 |