| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.06 | $213.06 | $547.04 | |
Aetna
| Professional | $213.06 | $295.93 | $547.04 | |
Anthem BCBS
| Facility | $657.62 | $657.62 | $657.62 | |
Anthem BCBS
| Professional | $395.04 | $401.80 | $876.83 | |
Cigna
| Facility | $410.92 | $410.92 | $450.65 | |
Cigna
| Professional | $299.97 | $410.92 | $520.15 | |
Hometown Health
| Professional | $365.69 | $526.10 | $854.91 | |
United
| Professional | $256.88 | $328.08 | $502.06 |