| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $1,122.02 | $4,365.16 | |
Aetna
| Professional | $407.38 | $478.63 | $588.84 | |
Anthem BCBS
| Facility | $263.03 | $489.78 | $1,412.54 | |
Anthem BCBS
| Professional | $288.40 | $288.40 | $354.81 | |
Cigna
| Facility | $380.19 | $691.83 | $1,737.80 | |
Cigna
| Professional | $676.08 | $707.95 | $851.14 | |
Hometown Health
| Professional | $588.84 | $588.84 | $954.99 | |
Select Health
| Professional | $588.84 | $588.84 | $588.84 | |
United
| Facility | $398.11 | $398.11 | $398.11 | |
United
| Professional | $245.47 | $245.47 | $794.33 |