| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,006.41 | $3,561.38 | $4,728.78 | |
Aetna
| Professional | $1,286.16 | $1,672.01 | $4,180.02 | |
Anthem BCBS
| Facility | $954.33 | $2,143.60 | $2,679.50 | |
Anthem BCBS
| Professional | $857.44 | $857.44 | $1,573.40 | |
Cigna
| Facility | $1,408.90 | $2,062.14 | $3,483.35 | |
Cigna
| Professional | $1,254.01 | $2,572.44 | $3,128.18 | |
Hometown Health
| Professional | $150.53 | $2,143.60 | $2,143.60 | |
Hometown Health
| Professional | $150.53 | $150.53 | $150.53 | |
United
| Professional | $252.88 | $750.26 | $2,143.60 |