| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.60 | $996.84 | $1,323.60 | |
Aetna
| Professional | $336.00 | $468.00 | $1,170.00 | |
Anthem BCBS
| Facility | $267.12 | $600.00 | $750.00 | |
Anthem BCBS
| Professional | $180.36 | $180.36 | $363.00 | |
Cigna
| Facility | $210.57 | $577.20 | $2,172.30 | |
Cigna
| Professional | $241.08 | $731.09 | $875.93 | |
Hometown Health
| Professional | $75.34 | $600.00 | $630.00 | |
United
| Professional | $126.57 | $126.57 | $301.35 |