| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $808.50 | $1,639.00 | $4,396.00 | |
Anthem BCBS
| Facility | $717.00 | $717.00 | $717.00 | |
Cigna
| Facility | $15,182.00 | $15,182.00 | $15,182.00 | |
Hometown Health
| Professional | $190.00 | $247.55 | $346.57 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |