| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,862.09 | $5,011.87 | |
Aetna
| Professional | $81.28 | $537.03 | $2,818.38 | |
Anthem BCBS
| Professional | $100.00 | $524.81 | $1,071.52 | |
Cigna
| Professional | $93.33 | $676.08 | $1,000.00 | |
Hometown Health
| Professional | $1.17 | $630.96 | $933.25 | |
Hometown Health
| Professional | $0.78 | $112.20 | $831.76 | |
Select Health
| Professional | $74.13 | $549.54 | $549.54 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 | |
United
| Professional | $95.50 | $602.56 | $1,202.26 |