| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.68 | $1,479.11 | $1,621.81 | |
Anthem BCBS
| Professional | $1,548.82 | $1,548.82 | $3,311.31 | |
Cigna
| Professional | $6,309.57 | $6,606.93 | $7,943.28 | |
Hometown Health
| Professional | $5,495.41 | $5,495.41 | $8,912.51 | |
Select Health
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
United
| Facility | $3,715.35 | $3,715.35 | $3,715.35 | |
United
| Professional | $794.33 | $1,148.15 | $5,495.41 |