| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $3,459.00 | $7,674.00 | |
Anthem BCBS
| Facility | $7,526.00 | $9,098.00 | $15,073.00 | |
Cigna
| Facility | $5,028.96 | $5,028.96 | $5,028.96 | |
Hometown Health
| Professional | $20.29 | $1,359.21 | $6,520.76 | |
Hometown Health
| Facility | $5,216.60 | $10,219.77 | $10,219.77 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |