| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $891.25 | $3,467.37 | |
Aetna
| Professional | $323.59 | $380.19 | $537.03 | |
Anthem BCBS
| Facility | $208.93 | $389.05 | $1,122.02 | |
Anthem BCBS
| Professional | $239.88 | $281.84 | $467.74 | |
Cigna
| Facility | $309.03 | $549.54 | $1,412.54 | |
Cigna
| Professional | $275.42 | $562.34 | $676.08 | |
Hometown Health
| Professional | $117.49 | $467.74 | $707.95 | |
Hometown Health
| Professional | $117.49 | $117.49 | $117.49 | |
Select Health
| Professional | $467.74 | $467.74 | $467.74 | |
United
| Facility | $323.59 | $323.59 | $323.59 | |
United
| Professional | $194.98 | $194.98 | $489.78 |