| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.81 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $128.44 | $152.86 | $770.11 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $133.13 | $161.57 | $237.04 | |
Cigna
| Professional | $141.26 | $172.29 | $268.81 | |
Hometown Health
| Professional | $117.90 | $176.37 | $248.80 | |
Hometown Health
| Professional | $1.86 | $131.00 | $247.16 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $140.74 | $167.46 | $292.33 |