| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $3,981.07 | $7,762.47 | |
Anthem BCBS
| Facility | $6,456.54 | $6,456.54 | $6,456.54 | |
Cigna
| Facility | $15,135.61 | $15,135.61 | $15,135.61 | |
Hometown Health
| Professional | $4.17 | $218.78 | $323.59 | |
United
| Facility | $199.53 | $1,047.13 | $1,995.26 |