| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $422.05 | $749.14 | $994.71 | |
Aetna
| Professional | $252.51 | $351.71 | $879.27 | |
Anthem BCBS
| Facility | $200.75 | $450.91 | $563.64 | |
Anthem BCBS
| Professional | $180.36 | $180.36 | $272.80 | |
Cigna
| Facility | $293.08 | $527.55 | $1,632.51 | |
Cigna
| Professional | $360.73 | $549.41 | $658.26 | |
Hometown Health
| Professional | $112.73 | $450.91 | $473.46 | |
United
| Facility | $676.37 | $676.37 | $676.37 | |
United
| Professional | $189.38 | $189.38 | $451.59 |