| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.04 | $585.04 | $1,771.57 | |
Aetna
| Professional | $585.04 | $585.04 | $1,771.57 | |
Anthem BCBS
| Professional | $30.00 | $617.61 | $617.61 | |
Cigna
| Professional | $159.00 | $987.00 | $987.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $649.46 | $649.46 | $649.46 |