| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $914.00 | |
Aetna
| Professional | $5,877.02 | $5,877.02 | $5,877.02 | |
Anthem BCBS
| Facility | $297.05 | $914.00 | $2,193.60 | |
Anthem BCBS
| Professional | $552.97 | $846.27 | $2,756.02 | |
Cigna
| Facility | $594.10 | $1,069.38 | $3,309.14 | |
Cigna
| Professional | $464.53 | $1,113.27 | $1,333.83 | |
Hometown Health
| Professional | $205.65 | $228.50 | $914.00 | |
Hometown Health
| Professional | $228.50 | $228.50 | $228.50 | |
United
| Facility | $1,371.00 | $1,371.00 | $1,371.00 | |
United
| Professional | $383.88 | $383.88 | $914.00 |