| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.30 | $450.68 | $1,274.00 | |
Aetna
| Professional | $371.39 | $422.50 | $520.76 | |
Anthem BCBS
| Professional | $352.36 | $394.34 | $613.04 | |
Cigna
| Professional | $361.02 | $524.03 | $764.84 | |
Hometown Health
| Professional | $350.00 | $461.82 | $613.35 | |
Hometown Health
| Professional | $342.09 | $513.14 | $634.50 | |
United
| Facility | $417.30 | $417.30 | $417.30 | |
United
| Professional | $378.56 | $496.86 | $753.24 |