| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.54 | $2,061.00 | $4,267.80 | |
Aetna
| Professional | $88.54 | $122.97 | $227.33 | |
Anthem BCBS
| Professional | $99.18 | $142.54 | $316.44 | |
Cigna
| Facility | $195.78 | $195.78 | $195.78 | |
Cigna
| Professional | $117.69 | $166.41 | $287.25 | |
Hometown Health
| Professional | $151.97 | $218.62 | $393.51 | |
United
| Professional | $109.47 | $136.34 | $182.61 |