| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.63 | $87.63 | $101.11 | |
Aetna
| Professional | $82.28 | $87.63 | $120.73 | |
Anthem BCBS
| Facility | $256.60 | $256.60 | $256.60 | |
Anthem BCBS
| Professional | $117.72 | $122.25 | $268.02 | |
Cigna
| Facility | $125.61 | $125.61 | $188.92 | |
Cigna
| Professional | $91.70 | $91.70 | $265.13 | |
Hometown Health
| Professional | $142.69 | $213.36 | $369.50 | |
United
| Professional | $78.52 | $100.29 | $167.15 |