| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $114.82 | $158.49 | $234.42 | |
Anthem BCBS
| Professional | $83.18 | $162.18 | $234.42 | |
Cigna
| Professional | $93.33 | $93.33 | $269.15 | |
Hometown Health
| Professional | $165.96 | $269.15 | $416.87 | |
Select Health
| Professional | $229.09 | $234.42 | $234.42 | |
United
| Professional | $75.86 | $109.65 | $234.42 |