| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.61 | $752.61 | $896.80 | |
Aetna
| Professional | $125.61 | $775.08 | $896.80 | |
Anthem BCBS
| Professional | $665.19 | $700.20 | $2,023.68 | |
Cigna
| Professional | $71.76 | $4,077.00 | $5,177.79 | |
Hometown Health
| Professional | $89.40 | $100.00 | $200.00 | |
United
| Professional | $35.76 | $77.62 | $199.28 |