| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.73 | $80.73 | $93.16 | |
Aetna
| Professional | $80.73 | $93.16 | $181.16 | |
Anthem BCBS
| Facility | $236.42 | $236.42 | $236.42 | |
Anthem BCBS
| Professional | $126.73 | $131.80 | $288.55 | |
Cigna
| Facility | $135.22 | $135.22 | $174.05 | |
Cigna
| Professional | $98.72 | $135.22 | $153.34 | |
Hometown Health
| Professional | $131.47 | $196.58 | $340.44 | |
United
| Professional | $84.54 | $107.97 | $157.97 |