| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.12 | $53.12 | $61.29 | |
Aetna
| Professional | $53.12 | $61.29 | $81.91 | |
Anthem BCBS
| Facility | $155.55 | $155.55 | $155.55 | |
Anthem BCBS
| Professional | $83.36 | $86.70 | $189.82 | |
Cigna
| Facility | $88.96 | $88.96 | $114.50 | |
Cigna
| Professional | $64.94 | $88.96 | $119.03 | |
Hometown Health
| Professional | $86.50 | $129.33 | $223.99 | |
United
| Professional | $55.61 | $71.02 | $103.92 |