| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Cigna
| Facility | $219.59 | $219.59 | $219.59 | |
Hometown Health
| Professional | $1.94 | $200.00 | $336.48 | |
Hometown Health
| Facility | $224.32 | $429.15 | $429.15 | |
United
| Facility | $200.00 | $1,709.00 | $1,975.00 |