| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,133.00 | $1,553.00 | $1,830.00 | |
Aetna
| Professional | $348.91 | $580.67 | $1,188.21 | |
Anthem BCBS
| Facility | $1,048.00 | $1,048.00 | $2,620.00 | |
Anthem BCBS
| Professional | $267.64 | $294.26 | $437.60 | |
Cigna
| Facility | $112.51 | $536.86 | $2,524.96 | |
Cigna
| Professional | $592.04 | $592.04 | $592.04 | |
Hometown Health
| Professional | $144.11 | $350.00 | $486.58 | |
Hometown Health
| Facility | $1,050.47 | $1,050.47 | $1,050.47 | |
United
| Facility | $517.79 | $517.79 | $517.79 | |
United
| Professional | $319.72 | $406.01 | $738.94 |