| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.31 | $68.31 | $78.81 | |
Aetna
| Professional | $68.31 | $78.81 | $125.29 | |
Anthem BCBS
| Facility | $200.02 | $200.02 | $200.02 | |
Anthem BCBS
| Professional | $117.12 | $119.68 | $266.70 | |
Cigna
| Facility | $142.94 | $142.94 | $147.25 | |
Cigna
| Professional | $104.35 | $142.94 | $158.40 | |
Hometown Health
| Professional | $111.23 | $166.32 | $288.02 | |
United
| Professional | $78.14 | $99.79 | $143.16 |