| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.99 | $98.99 | $114.22 | |
Aetna
| Professional | $98.99 | $114.22 | $165.77 | |
Anthem BCBS
| Facility | $289.86 | $289.86 | $289.86 | |
Anthem BCBS
| Professional | $155.36 | $155.36 | $353.74 | |
Cigna
| Facility | $176.58 | $176.58 | $213.39 | |
Cigna
| Professional | $128.90 | $176.58 | $188.24 | |
Hometown Health
| Professional | $161.19 | $231.89 | $417.40 | |
United
| Professional | $103.64 | $132.35 | $193.69 |