| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $1,621.81 | $6,309.57 | |
Aetna
| Professional | $562.34 | $676.08 | $812.83 | |
Anthem BCBS
| Facility | $371.54 | $707.95 | $1,995.26 | |
Anthem BCBS
| Professional | $512.86 | $616.60 | $851.14 | |
Cigna
| Facility | $549.54 | $977.24 | $2,511.89 | |
Cigna
| Professional | $954.99 | $954.99 | $1,202.26 | |
Hometown Health
| Professional | $831.76 | $831.76 | $1,380.38 | |
Select Health
| Professional | $831.76 | $831.76 | $831.76 | |
United
| Facility | $295.12 | $295.12 | $575.44 | |
United
| Professional | $354.81 | $501.19 | $1,096.48 |