| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.65 | $360.65 | $360.65 | |
Aetna
| Professional | $300.33 | $349.66 | $1,011.93 | |
Anthem BCBS
| Professional | $345.56 | $456.50 | $699.13 | |
Cigna
| Professional | $332.20 | $446.78 | $725.30 | |
Hometown Health
| Professional | $4.00 | $384.17 | $557.88 | |
Hometown Health
| Professional | $4.00 | $334.06 | $501.09 | |
United
| Professional | $343.03 | $439.34 | $731.25 |