| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.73 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $165.78 | $352.80 | $709.84 | |
Anthem BCBS
| Professional | $160.78 | $315.70 | $524.91 | |
Cigna
| Professional | $156.76 | $308.30 | $599.91 | |
Hometown Health
| Professional | $124.23 | $218.09 | $579.49 | |
Hometown Health
| Professional | $2.04 | $138.03 | $575.66 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 | |
United
| Professional | $337.61 | $399.60 | $680.41 |