| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.03 | $2,472.00 | $5,923.00 | |
Aetna
| Professional | $96.51 | $159.40 | $264.58 | |
Anthem BCBS
| Facility | $510.00 | $510.00 | $510.00 | |
Anthem BCBS
| Professional | $91.94 | $146.29 | $234.14 | |
Cigna
| Professional | $94.85 | $161.22 | $284.27 | |
Hometown Health
| Professional | $83.20 | $147.86 | $269.07 | |
Hometown Health
| Professional | $2.40 | $87.58 | $267.29 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 | |
United
| Professional | $156.96 | $194.62 | $326.33 |