| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.32 | $911.00 | $4,396.00 | |
Aetna
| Professional | $10.53 | $23.87 | $51.47 | |
Anthem BCBS
| Professional | $11.08 | $28.04 | $61.14 | |
Cigna
| Professional | $5.79 | $21.24 | $50.29 | |
Hometown Health
| Professional | $1.12 | $30.79 | $73.56 | |
Hometown Health
| Professional | $0.71 | $21.38 | $71.19 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $25.51 | $47.28 | $87.69 |