| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.07 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $139.96 | $169.37 | $844.26 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $137.30 | $172.16 | $262.94 | |
Cigna
| Professional | $138.62 | $187.32 | $299.33 | |
Hometown Health
| Professional | $128.97 | $201.14 | $278.49 | |
Hometown Health
| Professional | $2.04 | $143.30 | $276.64 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 | |
United
| Professional | $159.68 | $197.21 | $326.98 |