| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Anthem BCBS
| Professional | $267.64 | $267.64 | $379.35 | |
Cigna
| Facility | $86.58 | $168.41 | $498.40 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
Hometown Health
| Facility | $97.31 | $97.31 | $97.31 |