| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.35 | $105.35 | $121.56 | |
Aetna
| Professional | $105.35 | $117.18 | $132.08 | |
Anthem BCBS
| Facility | $308.51 | $308.51 | $308.51 | |
Anthem BCBS
| Professional | $135.49 | $137.22 | $308.51 | |
Cigna
| Facility | $166.23 | $166.23 | $227.11 | |
Cigna
| Professional | $121.35 | $166.23 | $203.88 | |
Hometown Health
| Professional | $171.56 | $246.81 | $444.25 | |
United
| Professional | $90.38 | $115.43 | $192.39 |