| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,445.44 | $5,370.32 | |
Aetna
| Professional | $537.03 | $616.60 | $741.31 | |
Anthem BCBS
| Facility | $338.84 | $630.96 | $1,819.70 | |
Anthem BCBS
| Professional | $426.58 | $501.19 | $501.19 | |
Cigna
| Facility | $489.78 | $891.25 | $1,230.27 | |
Cigna
| Professional | $870.96 | $933.25 | $1,096.48 | |
Hometown Health
| Professional | $758.58 | $758.58 | $1,230.27 | |
Select Health
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $524.81 | $524.81 | $524.81 | |
United
| Professional | $316.23 | $316.23 | $794.33 |