| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.78 | $836.35 | $1,110.49 | |
Aetna
| Professional | $377.55 | $377.55 | $578.91 | |
Anthem BCBS
| Facility | $163.61 | $503.40 | $1,208.16 | |
Anthem BCBS
| Professional | $28.88 | $251.70 | $369.49 | |
Cigna
| Facility | $327.20 | $588.98 | $1,822.56 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
Hometown Health
| Professional | $125.85 | $503.40 | $528.57 | |
United
| Facility | $755.10 | $755.10 | $755.10 | |
United
| Professional | $211.43 | $211.43 | $503.40 |