| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.62 | $669.79 | $813.79 | |
Anthem BCBS
| Professional | $825.58 | $825.58 | $1,014.01 | |
Cigna
| Facility | $833.40 | $833.40 | $833.40 | |
Cigna
| Professional | $106.49 | $833.40 | $1,571.25 | |
Hometown Health
| Professional | $137.74 | $137.74 | $137.74 | |
United
| Professional | $526.16 | $668.58 | $1,114.30 |