| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.44 | $158.44 | $406.82 | |
Aetna
| Professional | $158.44 | $212.17 | $406.82 | |
Anthem BCBS
| Facility | $489.05 | $489.05 | $489.05 | |
Anthem BCBS
| Professional | $239.07 | $240.07 | $530.74 | |
Cigna
| Facility | $306.16 | $306.16 | $360.02 | |
Cigna
| Professional | $223.50 | $306.16 | $326.39 | |
Hometown Health
| Professional | $271.95 | $391.24 | $635.77 | |
United
| Professional | $155.49 | $198.59 | $326.77 |