| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $446.00 | $446.00 | $446.00 | |
Cigna
| Facility | $15,182.00 | $15,182.00 | $15,182.00 | |
Hometown Health
| Professional | $2.72 | $135.77 | $200.00 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 |