| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.03 | $166.03 | $191.57 | |
Aetna
| Professional | $166.03 | $194.47 | $425.71 | |
Anthem BCBS
| Facility | $486.17 | $486.17 | $486.17 | |
Anthem BCBS
| Professional | $260.91 | $291.27 | $593.28 | |
Cigna
| Facility | $278.04 | $278.04 | $357.89 | |
Cigna
| Professional | $202.97 | $278.04 | $315.27 | |
Hometown Health
| Professional | $270.35 | $404.24 | $700.08 | |
United
| Facility | $167.61 | $220.01 | $258.99 | |
United
| Professional | $173.82 | $221.99 | $574.98 |