| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.65 | $413.26 | $1,274.00 | |
Aetna
| Professional | $346.44 | $384.06 | $485.64 | |
Anthem BCBS
| Professional | $343.37 | $569.41 | $842.80 | |
Cigna
| Professional | $382.65 | $528.20 | $766.80 | |
Hometown Health
| Professional | $190.00 | $460.33 | $498.69 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Professional | $356.28 | $481.80 | $697.46 |