| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $2,238.72 | $5,011.87 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Cigna
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
Hometown Health
| Professional | $5.01 | $831.76 | $2,041.74 | |
United
| Facility | $724.44 | $1,995.26 | $6,309.57 |