| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.99 | $114.22 | $133.26 | |
Aetna
| Professional | $98.99 | $118.64 | $653.00 | |
Anthem BCBS
| Facility | $289.86 | $289.86 | $289.86 | |
Anthem BCBS
| Professional | $159.35 | $159.35 | $353.74 | |
Cigna
| Facility | $175.00 | $175.00 | $213.39 | |
Cigna
| Professional | $127.75 | $127.75 | $187.98 | |
Hometown Health
| Professional | $161.19 | $231.89 | $417.40 | |
United
| Professional | $103.64 | $132.35 | $220.59 |