| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $1,288.25 | $5,128.61 | |
Aetna
| Professional | $467.74 | $549.54 | $660.69 | |
Anthem BCBS
| Facility | $302.00 | $562.34 | $1,621.81 | |
Anthem BCBS
| Professional | $181.97 | $181.97 | $407.38 | |
Cigna
| Facility | $446.68 | $794.33 | $2,041.74 | |
Cigna
| Professional | $537.03 | $831.76 | $977.24 | |
Hometown Health
| Professional | $169.82 | $676.08 | $707.95 | |
Select Health
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Professional | $281.84 | $281.84 | $707.95 |