| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.92 | $253.92 | $651.95 | |
Aetna
| Professional | $253.92 | $352.67 | $651.95 | |
Anthem BCBS
| Facility | $783.72 | $783.72 | $783.72 | |
Anthem BCBS
| Professional | $401.40 | $424.98 | $891.11 | |
Cigna
| Facility | $440.05 | $440.05 | $576.97 | |
Cigna
| Professional | $321.24 | $440.05 | $516.02 | |
Hometown Health
| Professional | $435.83 | $626.98 | $1,018.84 | |
United
| Professional | $313.85 | $478.34 | $705.35 |