| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,818.38 | $5,888.44 | |
Anthem BCBS
| Facility | $3,388.44 | $4,073.80 | $5,888.44 | |
Cigna
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Hometown Health
| Professional | $158.49 | $707.95 | $1,096.48 | |
Hometown Health
| Facility | $776.25 | $776.25 | $776.25 | |
United
| Facility | $724.44 | $1,995.26 | $6,456.54 |