| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.45 | $878.92 | $1,234.67 | |
Aetna
| Professional | $847.95 | $853.45 | $878.92 | |
Anthem BCBS
| Professional | $891.66 | $946.38 | $1,439.88 | |
Cigna
| Facility | $881.10 | $881.10 | $881.10 | |
Cigna
| Professional | $109.87 | $881.10 | $1,620.00 | |
Hometown Health
| Professional | $139.79 | $139.79 | $139.79 | |
United
| Professional | $508.23 | $826.52 | $1,265.25 |