| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.39 | $765.92 | $1,353.26 | |
Aetna
| Professional | $262.08 | $293.39 | $372.70 | |
Anthem BCBS
| Professional | $60.00 | $266.02 | $266.02 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $282.70 | $282.70 | $282.70 |