| 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 | $3,986.58 | $5,204.49 | $5,565.47 | |
Hometown Health
| Professional | $296.89 | $3,760.38 | $6,254.10 | |
Hometown Health
| Facility | $4,192.12 | $6,448.02 | $6,448.02 | |
United
| Facility | $1,432.00 | $4,776.00 | $11,845.00 |