| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.55 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $82.98 | $128.68 | $175.69 | |
Anthem BCBS
| Facility | $446.00 | $446.00 | $446.00 | |
Anthem BCBS
| Professional | $105.51 | $150.88 | $226.19 | |
Cigna
| Professional | $78.38 | $138.78 | $212.04 | |
Hometown Health
| Professional | $69.54 | $131.30 | $232.35 | |
Hometown Health
| Professional | $1.20 | $77.27 | $208.70 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $152.34 | $193.26 | $280.35 |