| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.59 | $1,490.28 | $1,978.78 | |
Aetna
| Professional | $672.75 | $699.66 | $1,536.50 | |
Anthem BCBS
| Facility | $291.52 | $897.00 | $2,152.80 | |
Anthem BCBS
| Professional | $10.28 | $464.64 | $658.39 | |
Cigna
| Facility | $583.04 | $1,049.49 | $1,457.63 | |
Cigna
| Professional | $1,030.84 | $1,030.84 | $1,288.56 | |
Hometown Health
| Professional | $897.00 | $897.00 | $941.85 | |
United
| Facility | $1,345.50 | $1,345.50 | $1,345.50 | |
United
| Professional | $376.74 | $376.74 | $897.00 |