| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,454.71 | $5,011.87 | |
Anthem BCBS
| Facility | $3,388.44 | $4,073.80 | $5,888.44 | |
Cigna
| Facility | $660.69 | $891.25 | $933.25 | |
Hometown Health
| Professional | $4.57 | $354.81 | $851.14 | |
Hometown Health
| Facility | $691.83 | $691.83 | $691.83 | |
United
| Facility | $724.44 | $1,949.84 | $6,309.57 |