| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.76 | $58.76 | $58.76 | |
Anthem BCBS
| Facility | $333.42 | $333.42 | $333.42 | |
Anthem BCBS
| Professional | $265.56 | $312.42 | $347.14 | |
Cigna
| Facility | $333.42 | $333.42 | $333.42 | |
Cigna
| Professional | $3.20 | $3.20 | $3.20 | |
Hometown Health
| Facility | $368.49 | $368.49 | $368.49 |