| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.99 | $561.99 | $561.99 | |
Aetna
| Professional | $395.43 | $514.69 | $687.49 | |
Anthem BCBS
| Professional | $411.74 | $521.08 | $863.29 | |
Cigna
| Professional | $407.54 | $520.36 | $866.37 | |
Hometown Health
| Professional | $3.35 | $502.63 | $769.31 | |
Hometown Health
| Professional | $3.35 | $512.87 | $769.31 | |
United
| Professional | $402.07 | $497.36 | $839.80 |