| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.60 | $169.60 | $435.45 | |
Aetna
| Professional | $169.60 | $214.96 | $435.45 | |
Anthem BCBS
| Facility | $523.47 | $523.47 | $523.47 | |
Anthem BCBS
| Professional | $242.22 | $321.33 | $537.72 | |
Cigna
| Facility | $260.88 | $260.88 | $385.36 | |
Cigna
| Professional | $190.44 | $260.88 | $342.12 | |
Hometown Health
| Professional | $291.10 | $418.78 | $680.51 | |
United
| Professional | $157.54 | $201.20 | $335.33 |