| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.86 | $169.86 | $196.00 | |
Aetna
| Professional | $152.69 | $169.86 | $330.69 | |
Anthem BCBS
| Facility | $497.41 | $497.41 | $497.41 | |
Anthem BCBS
| Professional | $222.79 | $222.79 | $497.41 | |
Cigna
| Facility | $291.02 | $291.02 | $366.19 | |
Cigna
| Professional | $212.45 | $291.02 | $328.74 | |
Hometown Health
| Professional | $276.61 | $397.93 | $646.63 | |
United
| Facility | $140.53 | $184.46 | $217.13 | |
United
| Professional | $145.72 | $186.11 | $310.19 |