| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.50 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $156.21 | $213.50 | $272.64 | |
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Anthem BCBS
| Professional | $158.91 | $215.58 | $329.27 | |
Cigna
| Facility | $148.05 | $148.05 | $148.05 | |
Cigna
| Professional | $153.87 | $223.62 | $369.00 | |
Hometown Health
| Professional | $139.60 | $210.80 | $356.19 | |
Hometown Health
| Facility | $441.55 | $441.55 | $441.55 | |
Hometown Health
| Professional | $139.60 | $209.40 | $235.36 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $199.01 | $250.43 | $437.22 |