| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.42 | $399.42 | $460.87 | |
Aetna
| Professional | $399.42 | $460.87 | $642.95 | |
Anthem BCBS
| Facility | $1,169.59 | $1,169.59 | $1,169.59 | |
Anthem BCBS
| Professional | $626.88 | $643.89 | $1,427.33 | |
Cigna
| Facility | $736.69 | $736.69 | $958.87 | |
Cigna
| Professional | $531.30 | $537.78 | $1,389.38 | |
Hometown Health
| Professional | $650.41 | $935.68 | $1,520.48 | |
United
| Professional | $418.16 | $534.05 | $781.51 |