| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.19 | $88.19 | $226.42 | |
Aetna
| Professional | $88.19 | $108.81 | $226.42 | |
Anthem BCBS
| Facility | $272.19 | $272.19 | $272.19 | |
Anthem BCBS
| Professional | $122.61 | $123.82 | $272.19 | |
Cigna
| Facility | $170.15 | $170.15 | $200.38 | |
Cigna
| Professional | $124.21 | $161.19 | $181.39 | |
Hometown Health
| Professional | $151.36 | $217.75 | $391.95 | |
United
| Professional | $94.16 | $135.79 | $169.74 |