| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.05 | $1,639.00 | $4,473.00 | |
Aetna
| Professional | $38.27 | $62.71 | $126.57 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $36.10 | $60.68 | $113.67 | |
Cigna
| Professional | $36.65 | $63.03 | $111.48 | |
Hometown Health
| Professional | $34.02 | $59.72 | $131.50 | |
Hometown Health
| Professional | $0.66 | $37.79 | $128.93 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $72.31 | $81.56 | $142.38 |