| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.24 | $420.24 | $484.89 | |
Aetna
| Professional | $420.24 | $484.89 | $648.00 | |
Anthem BCBS
| Facility | $1,230.58 | $1,230.58 | $1,230.58 | |
Anthem BCBS
| Professional | $659.53 | $737.29 | $1,501.71 | |
Cigna
| Facility | $741.89 | $741.89 | $905.90 | |
Cigna
| Professional | $541.58 | $741.89 | $790.90 | |
Hometown Health
| Professional | $684.30 | $984.46 | $1,599.75 | |
United
| Professional | $439.96 | $561.89 | $822.21 |