| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $711.36 | $1,262.66 | $1,676.56 | |
Aetna
| Professional | $570.00 | $592.79 | $874.00 | |
Anthem BCBS
| Facility | $247.00 | $760.00 | $1,824.00 | |
Anthem BCBS
| Professional | $304.00 | $393.68 | $557.84 | |
Cigna
| Facility | $494.00 | $889.20 | $2,751.58 | |
Cigna
| Professional | $608.00 | $873.50 | $1,091.86 | |
Hometown Health
| Professional | $190.00 | $760.00 | $760.00 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 | |
United
| Facility | $1,140.00 | $1,140.00 | $1,140.00 | |
United
| Professional | $319.20 | $319.20 | $760.00 |