| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,111.26 | $5,522.49 | $7,332.73 | |
Aetna
| Professional | $1,861.44 | $2,592.71 | $21,373.30 | |
Anthem BCBS
| Facility | $1,479.84 | $3,324.00 | $4,155.00 | |
Anthem BCBS
| Professional | $1,329.60 | $1,721.83 | $2,552.83 | |
Cigna
| Facility | $2,184.71 | $3,197.69 | $5,401.50 | |
Cigna
| Professional | $1,944.54 | $3,988.79 | $4,850.67 | |
Hometown Health
| Professional | $831.00 | $3,324.00 | $3,324.00 | |
Hometown Health
| Professional | $831.00 | $831.00 | $831.00 | |
United
| Facility | $4,986.00 | $4,986.00 | $4,986.00 | |
United
| Professional | $1,396.08 | $1,396.08 | $3,324.00 |