| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.40 | $117.40 | $135.46 | |
Aetna
| Professional | $117.40 | $135.46 | $181.04 | |
Anthem BCBS
| Facility | $343.78 | $343.78 | $343.78 | |
Anthem BCBS
| Professional | $184.25 | $191.64 | $419.52 | |
Cigna
| Facility | $212.98 | $212.98 | $253.08 | |
Cigna
| Professional | $155.47 | $212.98 | $227.05 | |
Hometown Health
| Professional | $191.17 | $275.02 | $493.00 | |
United
| Professional | $122.90 | $156.97 | $229.71 |