| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.91 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $462.87 | $512.91 | $6,249.99 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Anthem BCBS
| Professional | $336.50 | $648.19 | $1,314.85 | |
Cigna
| Professional | $487.28 | $666.80 | $987.31 | |
Hometown Health
| Professional | $26.60 | $190.00 | $534.35 | |
Hometown Health
| Professional | $22.80 | $22.80 | $22.80 | |
United
| Facility | $776.00 | $2,578.00 | $6,471.00 | |
United
| Professional | $420.51 | $552.16 | $894.55 |