| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.78 | $836.35 | $1,110.49 | |
Aetna
| Professional | $251.69 | $366.62 | $377.55 | |
Anthem BCBS
| Facility | $163.61 | $422.86 | $1,208.16 | |
Anthem BCBS
| Professional | $201.36 | $304.55 | $369.49 | |
Cigna
| Facility | $327.20 | $588.98 | $1,822.56 | |
Cigna
| Professional | $402.72 | $525.00 | $656.25 | |
Hometown Health
| Professional | $125.85 | $503.40 | $503.40 | |
Hometown Health
| Professional | $125.85 | $125.85 | $125.85 | |
United
| Professional | $211.43 | $211.43 | $503.40 |