| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.55 | $84.55 | $217.09 | |
Aetna
| Professional | $84.55 | $117.44 | $217.09 | |
Anthem BCBS
| Facility | $260.98 | $260.98 | $260.98 | |
Anthem BCBS
| Professional | $117.56 | $120.12 | $260.98 | |
Cigna
| Facility | $122.31 | $122.31 | $192.13 | |
Cigna
| Professional | $89.29 | $122.31 | $172.49 | |
Hometown Health
| Professional | $145.13 | $208.78 | $375.81 | |
United
| Professional | $76.45 | $99.36 | $162.75 |