| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $1,862.09 | $5,011.87 | |
Aetna
| Professional | $123.03 | $147.91 | $263.03 | |
Anthem BCBS
| Professional | $131.83 | $169.82 | $288.40 | |
Cigna
| Professional | $141.25 | $165.96 | $263.03 | |
Hometown Health
| Professional | $2.45 | $177.83 | $257.04 | |
Hometown Health
| Professional | $1.86 | $194.98 | $245.47 | |
Select Health
| Professional | $131.83 | $165.96 | $234.42 | |
United
| Facility | $199.53 | $1,047.13 | $1,995.26 | |
United
| Professional | $138.04 | $173.78 | $275.42 |