| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $514.00 | $2,173.00 | $4,730.00 | |
Aetna
| Professional | $232.12 | $339.52 | $517.89 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Anthem BCBS
| Professional | $223.72 | $335.46 | $535.70 | |
Cigna
| Facility | $345.41 | $345.41 | $345.41 | |
Cigna
| Professional | $226.13 | $342.65 | $580.75 | |
Hometown Health
| Professional | $209.58 | $340.35 | $605.90 | |
Hometown Health
| Facility | $676.51 | $676.51 | $676.51 | |
Hometown Health
| Professional | $225.40 | $338.10 | $376.89 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $355.05 | $411.85 | $720.73 |