| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.26 | $496.26 | $572.61 | |
Aetna
| Professional | $496.26 | $572.61 | $765.26 | |
Anthem BCBS
| Facility | $1,453.18 | $1,453.18 | $1,453.18 | |
Anthem BCBS
| Professional | $778.86 | $804.54 | $1,773.41 | |
Cigna
| Facility | $831.10 | $831.10 | $1,069.79 | |
Cigna
| Professional | $606.70 | $831.10 | $942.45 | |
Hometown Health
| Professional | $808.09 | $1,162.54 | $1,889.13 | |
United
| Professional | $519.54 | $663.55 | $970.98 |