| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.47 | $162.47 | $417.15 | |
Aetna
| Professional | $162.47 | $225.67 | $417.15 | |
Anthem BCBS
| Facility | $501.48 | $501.48 | $501.48 | |
Anthem BCBS
| Professional | $301.19 | $304.95 | $668.64 | |
Cigna
| Facility | $333.21 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $336.82 | $396.78 | |
Hometown Health
| Professional | $278.87 | $401.18 | $651.91 | |
United
| Professional | $235.49 | $358.92 | $471.35 |