| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.16 | $1,713.00 | $4,892.35 | |
Anthem BCBS
| Facility | $3,931.00 | $5,930.00 | $9,964.00 | |
Cigna
| Facility | $665.38 | $665.38 | $665.38 | |
Hometown Health
| Professional | $45.05 | $207.99 | $678.72 | |
Hometown Health
| Facility | $678.72 | $1,716.83 | $1,716.83 | |
United
| Facility | $408.00 | $1,917.00 | $9,500.00 |