| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.26 | $188.26 | $217.22 | |
Aetna
| Professional | $169.22 | $188.26 | $250.04 | |
Anthem BCBS
| Facility | $551.29 | $551.29 | $551.29 | |
Anthem BCBS
| Professional | $242.12 | $242.12 | $551.29 | |
Cigna
| Facility | $273.20 | $273.20 | $405.84 | |
Cigna
| Professional | $199.44 | $273.20 | $364.35 | |
Hometown Health
| Professional | $306.57 | $441.03 | $716.68 | |
United
| Professional | $161.51 | $206.27 | $343.79 |