| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.04 | $653.12 | $803.64 | |
Anthem BCBS
| Professional | $815.29 | $815.29 | $1,037.47 | |
Cigna
| Facility | $867.37 | $867.37 | $867.37 | |
Cigna
| Professional | $103.85 | $867.37 | $1,530.00 | |
Hometown Health
| Professional | $140.88 | $140.88 | $140.88 | |
United
| Professional | $513.16 | $660.24 | $1,100.40 |