| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.26 | $66.26 | $76.45 | |
Aetna
| Professional | $59.81 | $77.61 | $300.00 | |
Anthem BCBS
| Facility | $194.02 | $194.02 | $194.02 | |
Anthem BCBS
| Professional | $105.59 | $109.27 | $240.40 | |
Cigna
| Facility | $112.67 | $112.67 | $142.85 | |
Cigna
| Professional | $82.25 | $112.67 | $128.25 | |
Hometown Health
| Professional | $107.91 | $161.33 | $279.39 | |
United
| Professional | $70.43 | $89.95 | $129.66 |