| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.75 | $52.79 | $109.65 | |
Aetna
| Professional | $45.75 | $45.75 | $59.97 | |
Anthem BCBS
| Professional | $162.57 | $504.43 | $504.43 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $225.75 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
United
| Professional | $45.95 | $73.40 | $136.72 |