| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.80 | $500.91 | $1,274.00 | |
Aetna
| Professional | $409.43 | $461.89 | $539.73 | |
Anthem BCBS
| Professional | $406.82 | $597.80 | $842.80 | |
Cigna
| Professional | $463.80 | $639.41 | $928.27 | |
Hometown Health
| Professional | $190.00 | $493.00 | $575.58 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Professional | $381.36 | $543.39 | $834.03 |