| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $512.86 | |
Aetna
| Professional | $30.20 | $44.67 | $562.34 | |
Anthem BCBS
| Professional | $263.03 | $309.03 | $512.86 | |
Cigna
| Professional | $302.00 | $407.38 | $549.54 | |
Hometown Health
| Professional | $338.84 | $457.09 | $724.44 | |
United
| Professional | $38.02 | $51.29 | $79.43 |