| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $7,386.00 | $10,250.00 | $16,117.00 | |
Cigna
| Facility | $14,326.42 | $14,326.42 | $15,934.00 | |
Hometown Health
| Professional | $7.94 | $545.16 | $19,306.04 | |
Hometown Health
| Facility | $14,850.80 | $21,077.06 | $21,077.06 | |
United
| Facility | $5,270.00 | $8,000.00 | $15,873.00 |