| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.35 | $1,706.00 | $4,473.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Cigna
| Facility | $502.86 | $502.86 | $502.86 | |
Hometown Health
| Professional | $1.04 | $140.74 | $498.75 | |
Hometown Health
| Facility | $983.93 | $983.93 | $983.93 | |
United
| Facility | $408.00 | $1,925.00 | $4,715.00 |