| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,310.00 | $1,310.00 | $1,545.00 | |
Cigna
| Facility | $74.84 | $205.97 | $352.70 | |
Cigna
| Professional | $259.00 | $259.00 | $259.00 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 | |
Hometown Health
| Facility | $146.72 | $146.72 | $146.72 |