| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $562.34 | |
Aetna
| Professional | $380.19 | $489.78 | $691.83 | |
Anthem BCBS
| Professional | $407.38 | $562.34 | $912.01 | |
Cigna
| Professional | $398.11 | $524.81 | $870.96 | |
Hometown Health
| Professional | $3.39 | $446.68 | $776.25 | |
Hometown Health
| Professional | $3.39 | $3.39 | $776.25 | |
Select Health
| Professional | $478.63 | $512.86 | $660.69 | |
United
| Professional | $380.19 | $501.19 | $831.76 |