| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $1,148.15 | $4,466.84 | |
Aetna
| Professional | $416.87 | $489.78 | $575.44 | |
Anthem BCBS
| Facility | $269.15 | $501.19 | $1,445.44 | |
Anthem BCBS
| Professional | $239.88 | $239.88 | $436.52 | |
Cigna
| Facility | $389.05 | $691.83 | $1,778.28 | |
Cigna
| Professional | $346.74 | $724.44 | $870.96 | |
Hometown Health
| Professional | $147.91 | $602.56 | $912.01 | |
Hometown Health
| Professional | $147.91 | $147.91 | $147.91 | |
Select Health
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Facility | $331.13 | $331.13 | $407.38 | |
United
| Professional | $251.19 | $251.19 | $630.96 |