| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.33 | $192.33 | $493.82 | |
Aetna
| Professional | $192.33 | $253.05 | $493.82 | |
Anthem BCBS
| Facility | $593.64 | $593.64 | $593.64 | |
Anthem BCBS
| Professional | $267.42 | $270.76 | $593.64 | |
Cigna
| Facility | $335.84 | $335.84 | $437.02 | |
Cigna
| Professional | $245.16 | $245.16 | $494.21 | |
Hometown Health
| Professional | $330.11 | $474.91 | $771.73 | |
United
| Professional | $173.92 | $222.12 | $370.20 |