| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.41 | $840.58 | $5,225.12 | |
Aetna
| Professional | $410.32 | $798.38 | $798.38 | |
Anthem BCBS
| Professional | $30.00 | $496.91 | $496.91 | |
Cigna
| Professional | $6.00 | $291.51 | $291.51 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $538.33 | $538.33 | $538.33 |