| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.46 | $971.75 | $1,290.28 | |
Aetna
| Professional | $327.54 | $368.49 | $672.64 | |
Anthem BCBS
| Facility | $260.39 | $584.90 | $731.13 | |
Anthem BCBS
| Professional | $288.83 | $302.97 | $449.20 | |
Cigna
| Facility | $384.43 | $562.67 | $950.48 | |
Cigna
| Professional | $385.12 | $671.95 | $853.38 | |
Hometown Health
| Professional | $200.58 | $584.90 | $584.90 | |
Hometown Health
| Professional | $200.58 | $200.58 | $200.58 | |
United
| Facility | $877.35 | $877.35 | $877.35 | |
United
| Professional | $245.66 | $336.98 | $796.75 |