| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,445.44 | $5,623.41 | |
Aetna
| Professional | $501.19 | $616.60 | $758.58 | |
Anthem BCBS
| Facility | $331.13 | $630.96 | $1,819.70 | |
Anthem BCBS
| Professional | $338.84 | $457.09 | $575.44 | |
Cigna
| Facility | $489.78 | $870.96 | $2,238.72 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
Hometown Health
| Professional | $758.58 | $758.58 | $1,230.27 | |
Select Health
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $263.03 | $263.03 | $512.86 | |
United
| Professional | $316.23 | $446.68 | $758.58 |