| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.72 | $1,639.00 | $4,396.00 | |
Aetna
| Professional | $48.89 | $88.56 | $296.66 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $44.56 | $71.54 | $131.34 | |
Cigna
| Professional | $45.42 | $75.48 | $128.69 | |
Hometown Health
| Professional | $42.89 | $75.30 | $153.22 | |
Hometown Health
| Professional | $0.78 | $47.66 | $150.22 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $84.14 | $96.40 | $168.21 |