| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.50 | $632.50 | $632.50 | |
Aetna
| Professional | $442.68 | $554.45 | $741.08 | |
Anthem BCBS
| Professional | $228.97 | $551.61 | $1,002.96 | |
Cigna
| Professional | $449.35 | $574.16 | $950.83 | |
Hometown Health
| Professional | $3.60 | $64.80 | $433.82 | |
Hometown Health
| Professional | $3.60 | $3.60 | $3.60 | |
United
| Professional | $340.57 | $470.80 | $754.74 |