| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,521.00 | $2,699.78 | $3,584.74 | |
Aetna
| Professional | $975.00 | $1,267.50 | $10,448.79 | |
Anthem BCBS
| Facility | $723.45 | $1,625.00 | $2,031.25 | |
Anthem BCBS
| Professional | $650.00 | $841.75 | $1,248.00 | |
Cigna
| Facility | $1,068.05 | $1,563.25 | $2,640.63 | |
Cigna
| Professional | $950.62 | $1,949.87 | $2,371.83 | |
Hometown Health
| Professional | $406.25 | $1,625.00 | $1,625.00 | |
Hometown Health
| Professional | $406.25 | $406.25 | $406.25 | |
United
| Professional | $682.50 | $682.50 | $1,625.00 |