| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.48 | $64.48 | $73.51 | |
Aetna
| Professional | $51.12 | $64.48 | $312.45 | |
Anthem BCBS
| Facility | $7,620.00 | $10,438.00 | $19,384.00 | |
Anthem BCBS
| Professional | $59.23 | $71.28 | $98.12 | |
Cigna
| Professional | $46.56 | $61.42 | $96.73 | |
Hometown Health
| Professional | $0.73 | $60.71 | $87.12 | |
Hometown Health
| Professional | $0.56 | $46.15 | $78.26 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $58.18 | $74.04 | $112.14 |