| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.84 | $686.83 | $1,120.18 | |
Aetna
| Professional | $220.89 | $466.17 | $1,475.00 | |
Anthem BCBS
| Facility | $185.55 | $416.78 | $520.98 | |
Anthem BCBS
| Professional | $205.82 | $205.82 | $444.67 | |
Cigna
| Facility | $270.91 | $487.64 | $1,508.97 | |
Cigna
| Professional | $285.45 | $320.45 | $607.91 | |
Hometown Health
| Professional | $141.80 | $141.80 | $416.78 | |
Hometown Health
| Professional | $141.80 | $141.80 | $141.80 | |
United
| Professional | $175.05 | $238.22 | $621.41 |