| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.04 | $57.04 | $65.81 | |
Aetna
| Professional | $57.04 | $65.81 | $96.12 | |
Anthem BCBS
| Facility | $167.01 | $167.01 | $167.01 | |
Anthem BCBS
| Professional | $88.72 | $92.70 | $202.01 | |
Cigna
| Facility | $122.96 | $132.63 | $132.63 | |
Cigna
| Professional | $96.83 | $118.37 | $136.62 | |
Hometown Health
| Professional | $92.88 | $138.87 | $240.49 | |
United
| Professional | $59.18 | $75.59 | $111.60 |