| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $3,072.00 | $3,931.00 | $5,258.00 | |
Cigna
| Facility | $909.22 | $1,186.98 | $1,269.31 | |
Hometown Health
| Professional | $9.03 | $433.12 | $1,120.63 | |
Hometown Health
| Facility | $933.86 | $2,096.52 | $2,096.52 | |
United
| Facility | $721.00 | $1,967.00 | $6,244.00 |