| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,150.00 | $2,599.00 | $5,923.00 | |
Anthem BCBS
| Facility | $4,169.00 | $6,151.00 | $10,920.00 | |
Cigna
| Facility | $4,334.51 | $5,658.72 | $6,051.21 | |
Hometown Health
| Professional | $289.02 | $3,775.15 | $6,280.13 | |
Hometown Health
| Facility | $4,699.16 | $6,448.02 | $6,448.02 | |
United
| Facility | $1,432.00 | $4,776.00 | $11,845.00 |