| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.94 | $102.62 | $213.16 | |
Aetna
| Professional | $88.94 | $88.94 | $116.58 | |
Anthem BCBS
| Professional | $183.74 | $183.74 | $183.74 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $210.68 | $367.33 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
United
| Professional | $102.71 | $142.69 | $265.85 |