| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.51 | $184.51 | $212.89 | |
Aetna
| Professional | $165.85 | $184.51 | $216.12 | |
Anthem BCBS
| Facility | $540.29 | $540.29 | $540.29 | |
Anthem BCBS
| Professional | $237.29 | $246.42 | $540.29 | |
Cigna
| Facility | $253.20 | $253.20 | $397.75 | |
Cigna
| Professional | $184.84 | $253.20 | $357.07 | |
Hometown Health
| Professional | $300.45 | $432.23 | $702.38 | |
United
| Professional | $158.29 | $202.16 | $336.93 |