| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.53 | $672.33 | $1,274.00 | |
Aetna
| Professional | $527.69 | $603.94 | $738.73 | |
Anthem BCBS
| Professional | $522.64 | $668.90 | $961.55 | |
Cigna
| Professional | $582.41 | $822.03 | $1,193.29 | |
Hometown Health
| Professional | $190.00 | $493.00 | $696.36 | |
Hometown Health
| Facility | $586.41 | $586.41 | $586.41 | |
United
| Professional | $531.95 | $690.28 | $1,043.08 |