| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $559.64 | $993.37 | $1,318.99 | |
Aetna
| Professional | $334.83 | $466.37 | $1,165.92 | |
Anthem BCBS
| Facility | $266.19 | $597.91 | $747.39 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $361.73 | |
Cigna
| Facility | $388.64 | $699.55 | $2,164.71 | |
Cigna
| Professional | $349.78 | $728.03 | $872.26 | |
Hometown Health
| Professional | $149.47 | $149.47 | $627.80 | |
Hometown Health
| Professional | $149.47 | $149.47 | $149.47 | |
United
| Facility | $896.87 | $896.87 | $896.87 | |
United
| Professional | $251.12 | $251.12 | $597.91 |