| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.50 | $501.66 | $1,274.00 | |
Aetna
| Professional | $398.13 | $464.50 | $557.30 | |
Anthem BCBS
| Professional | $401.07 | $573.19 | $842.80 | |
Cigna
| Professional | $439.52 | $624.01 | $905.73 | |
Hometown Health
| Professional | $190.00 | $481.98 | $522.15 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Professional | $402.57 | $545.12 | $772.09 |