| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $1,862.09 | $5,011.87 | |
Anthem BCBS
| Facility | $1,513.56 | $3,467.37 | $4,466.84 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Hometown Health
| Professional | $37.15 | $630.96 | $1,000.00 | |
Hometown Health
| Facility | $524.81 | $524.81 | $524.81 | |
United
| Facility | $724.44 | $1,995.26 | $6,456.54 |