| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.82 | $167.82 | $430.89 | |
Aetna
| Professional | $167.82 | $223.22 | $430.89 | |
Anthem BCBS
| Facility | $517.99 | $517.99 | $517.99 | |
Anthem BCBS
| Professional | $251.53 | $257.30 | $558.38 | |
Cigna
| Facility | $327.20 | $327.20 | $381.34 | |
Cigna
| Professional | $238.86 | $320.17 | $348.81 | |
Hometown Health
| Professional | $288.05 | $430.70 | $745.91 | |
United
| Facility | $157.76 | $276.08 | $313.39 | |
United
| Professional | $193.18 | $208.93 | $348.21 |