| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $267.64 | $294.26 | $437.60 | |
Cigna
| Facility | $650.50 | $650.50 | $1,728.02 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $718.92 | $718.92 | $718.92 | |
United
| Professional | $220.62 | $251.32 | $279.47 |