| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.74 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Cigna
| Facility | $397.29 | $397.29 | $397.29 | |
Hometown Health
| Professional | $259.36 | $446.29 | $804.11 | |
Hometown Health
| Facility | $777.59 | $777.59 | $777.59 | |
United
| Facility | $408.00 | $1,925.00 | $4,661.00 |