| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.26 | $66.26 | $76.45 | |
Aetna
| Professional | $66.26 | $80.76 | $136.02 | |
Anthem BCBS
| Facility | $194.02 | $194.02 | $194.02 | |
Anthem BCBS
| Professional | $115.83 | $120.05 | $240.40 | |
Cigna
| Facility | $106.02 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $234.38 | |
Hometown Health
| Professional | $107.91 | $161.33 | $279.39 | |
United
| Professional | $70.43 | $89.95 | $149.91 |