| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $363.08 | |
Aetna
| Professional | $30.20 | $44.67 | $398.11 | |
Anthem BCBS
| Professional | $190.55 | $223.87 | $363.08 | |
Cigna
| Professional | $199.53 | $269.15 | $371.54 | |
Hometown Health
| Professional | $239.88 | $323.59 | $512.86 | |
United
| Professional | $38.02 | $51.29 | $79.43 |