| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $564.13 | $1,001.33 | $1,329.57 | |
Aetna
| Professional | $452.03 | $470.11 | $470.11 | |
Anthem BCBS
| Facility | $195.88 | $602.70 | $1,446.48 | |
Anthem BCBS
| Professional | $120.54 | $120.54 | $364.63 | |
Cigna
| Facility | $391.76 | $705.17 | $2,182.10 | |
Cigna
| Professional | $734.16 | $734.16 | $879.60 | |
Hometown Health
| Professional | $602.70 | $602.70 | $632.84 | |
United
| Facility | $904.05 | $904.05 | $904.05 | |
United
| Professional | $253.13 | $253.13 | $602.70 |