| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.09 | $1,520.29 | $1,833.40 | |
Aetna
| Professional | $796.09 | $796.09 | $867.74 | |
Anthem BCBS
| Facility | $728.42 | $835.89 | $2,539.53 | |
Anthem BCBS
| Professional | $796.09 | $796.09 | $800.15 | |
Cigna
| Facility | $796.09 | $796.09 | $806.51 | |
Cigna
| Professional | $774.75 | $796.09 | $968.44 | |
Hometown Health
| Professional | $659.76 | $863.69 | $948.84 | |
United
| Professional | $517.46 | $796.09 | $796.09 |