| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.15 | $126.15 | $145.56 | |
Aetna
| Professional | $126.15 | $194.54 | $790.00 | |
Anthem BCBS
| Facility | $369.41 | $369.41 | $369.41 | |
Anthem BCBS
| Professional | $197.99 | $221.34 | $450.81 | |
Cigna
| Facility | $211.27 | $211.27 | $271.95 | |
Cigna
| Professional | $154.22 | $211.27 | $239.58 | |
Hometown Health
| Professional | $205.42 | $295.52 | $493.00 | |
United
| Professional | $132.07 | $168.68 | $246.83 |