| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.65 | $219.65 | $563.98 | |
Aetna
| Professional | $219.65 | $305.08 | $563.98 | |
Anthem BCBS
| Facility | $677.98 | $677.98 | $677.98 | |
Anthem BCBS
| Professional | $362.75 | $368.99 | $805.31 | |
Cigna
| Facility | $427.13 | $427.13 | $499.10 | |
Cigna
| Professional | $311.80 | $427.13 | $477.06 | |
Hometown Health
| Professional | $377.01 | $542.38 | $881.37 | |
United
| Professional | $278.58 | $362.39 | $461.10 |