| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $1,114.05 | |
Aetna
| Professional | $416.78 | $416.78 | $625.16 | |
Anthem BCBS
| Facility | $135.44 | $416.62 | $1,000.27 | |
Anthem BCBS
| Professional | $166.71 | $166.71 | $321.41 | |
Cigna
| Facility | $286.24 | $395.53 | $487.64 | |
Cigna
| Professional | $507.69 | $507.69 | $608.27 | |
Hometown Health
| Professional | $416.78 | $416.78 | $437.62 | |
United
| Professional | $165.11 | $184.76 | $437.67 |