| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.09 | $877.01 | $1,164.48 | |
Aetna
| Professional | $295.61 | $411.74 | $1,029.34 | |
Anthem BCBS
| Facility | $171.56 | $527.87 | $1,266.89 | |
Anthem BCBS
| Professional | $211.15 | $211.15 | $319.36 | |
Cigna
| Facility | $343.12 | $617.62 | $1,911.18 | |
Cigna
| Professional | $643.10 | $643.10 | $770.51 | |
Hometown Health
| Professional | $527.87 | $527.87 | $554.26 | |
United
| Professional | $221.71 | $221.71 | $554.26 |