| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.68 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $78.17 | $89.60 | $477.13 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $64.56 | $93.03 | $141.43 | |
Cigna
| Professional | $66.09 | $94.22 | $157.19 | |
Hometown Health
| Professional | $66.34 | $99.56 | $153.19 | |
Hometown Health
| Professional | $1.02 | $73.72 | $150.19 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 | |
United
| Professional | $86.72 | $102.13 | $178.29 |