| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $588.84 | |
Aetna
| Professional | $407.38 | $512.86 | $660.69 | |
Anthem BCBS
| Professional | $436.52 | $588.84 | $954.99 | |
Cigna
| Professional | $426.58 | $549.54 | $912.01 | |
Hometown Health
| Professional | $3.47 | $478.63 | $794.33 | |
Hometown Health
| Professional | $3.47 | $3.47 | $794.33 | |
Select Health
| Professional | $501.19 | $524.81 | $691.83 | |
United
| Professional | $407.38 | $524.81 | $870.96 |