| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.00 | $1,246.05 | $1,654.50 | |
Aetna
| Professional | $562.50 | $585.00 | $862.50 | |
Anthem BCBS
| Facility | $243.75 | $750.00 | $1,800.00 | |
Anthem BCBS
| Professional | $336.26 | $420.32 | $550.50 | |
Cigna
| Facility | $487.50 | $877.50 | $2,715.38 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Hometown Health
| Professional | $750.00 | $750.00 | $787.50 | |
United
| Facility | $1,125.00 | $1,125.00 | $1,125.00 | |
United
| Professional | $315.00 | $315.00 | $750.00 |