| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.98 | $1,282.56 | $1,702.97 | |
Aetna
| Professional | $578.99 | $578.99 | $578.99 | |
Anthem BCBS
| Facility | $250.89 | $771.98 | $1,852.75 | |
Anthem BCBS
| Professional | $308.79 | $467.04 | $566.63 | |
Cigna
| Facility | $501.79 | $903.22 | $2,794.97 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
Hometown Health
| Professional | $193.00 | $771.98 | $810.58 | |
United
| Professional | $324.23 | $324.23 | $771.98 |