| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.53 | $121.77 | $238.51 | |
Aetna
| Professional | $105.53 | $121.77 | $169.87 | |
Anthem BCBS
| Facility | $309.02 | $309.02 | $309.02 | |
Anthem BCBS
| Professional | $165.64 | $171.10 | $377.14 | |
Cigna
| Facility | $176.75 | $176.75 | $227.51 | |
Cigna
| Professional | $129.03 | $176.75 | $200.42 | |
Hometown Health
| Professional | $171.85 | $247.22 | $445.00 | |
United
| Professional | $110.49 | $141.11 | $206.49 |