| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.37 | $146.37 | $375.82 | |
Aetna
| Professional | $146.37 | $203.31 | $375.82 | |
Anthem BCBS
| Facility | $451.79 | $451.79 | $451.79 | |
Anthem BCBS
| Professional | $262.11 | $266.11 | $581.87 | |
Cigna
| Facility | $332.60 | $366.26 | $366.26 | |
Cigna
| Professional | $267.37 | $345.63 | $390.45 | |
Hometown Health
| Professional | $251.24 | $361.43 | $587.33 | |
United
| Professional | $170.47 | $241.50 | $335.50 |