| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $676.08 | $2,630.27 | |
Aetna
| Professional | $245.47 | $288.40 | $338.84 | |
Anthem BCBS
| Facility | $346.74 | $380.19 | $407.38 | |
Cigna
| Professional | $407.38 | $426.58 | $512.86 | |
Hometown Health
| Professional | $79.43 | $87.10 | $87.10 | |
Hometown Health
| Professional | $87.10 | $87.10 | $87.10 | |
United
| Facility | $239.88 | $239.88 | $239.88 | |
United
| Professional | $147.91 | $208.93 | $457.09 |