| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $889.20 | $1,578.33 | $2,095.69 | |
Aetna
| Professional | $712.50 | $741.00 | $1,092.50 | |
Anthem BCBS
| Facility | $422.94 | $950.00 | $1,187.50 | |
Anthem BCBS
| Professional | $336.26 | $492.10 | $697.30 | |
Cigna
| Facility | $617.50 | $1,111.50 | $3,439.48 | |
Cigna
| Professional | $760.00 | $1,091.56 | $1,364.45 | |
Hometown Health
| Professional | $237.50 | $950.00 | $997.50 | |
United
| Professional | $399.00 | $399.00 | $950.00 |