| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.52 | $137.52 | $353.10 | |
Aetna
| Professional | $137.52 | $179.64 | $353.10 | |
Anthem BCBS
| Facility | $424.47 | $424.47 | $424.47 | |
Anthem BCBS
| Professional | $191.21 | $201.58 | $424.47 | |
Cigna
| Facility | $221.07 | $221.07 | $312.48 | |
Cigna
| Professional | $161.38 | $221.07 | $280.54 | |
Hometown Health
| Professional | $236.05 | $339.58 | $551.80 | |
United
| Professional | $124.36 | $161.61 | $264.70 |