| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $2,454.71 | $5,011.87 | |
Anthem BCBS
| Facility | $1,513.56 | $3,467.37 | $4,466.84 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Hometown Health
| Professional | $117.49 | $223.87 | $371.54 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 |