| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.87 | $485.87 | $560.61 | |
Aetna
| Professional | $485.87 | $560.61 | $1,157.38 | |
Anthem BCBS
| Facility | $1,422.76 | $1,422.76 | $1,422.76 | |
Anthem BCBS
| Professional | $739.80 | $765.53 | $1,684.44 | |
Cigna
| Facility | $906.54 | $906.54 | $1,047.39 | |
Cigna
| Professional | $661.77 | $836.01 | $988.03 | |
Hometown Health
| Professional | $791.18 | $1,138.21 | $1,849.59 | |
United
| Professional | $493.49 | $630.26 | $950.64 |