| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.75 | $297.75 | $343.55 | |
Aetna
| Professional | $297.75 | $314.91 | $391.33 | |
Anthem BCBS
| Facility | $871.88 | $871.88 | $871.88 | |
Anthem BCBS
| Professional | $382.93 | $382.93 | $871.88 | |
Cigna
| Facility | $408.60 | $408.60 | $641.86 | |
Cigna
| Professional | $298.27 | $408.60 | $576.23 | |
Hometown Health
| Professional | $484.84 | $697.50 | $1,133.44 | |
United
| Professional | $255.43 | $326.23 | $543.71 |