| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.77 | $973.77 | $3,822.00 | |
Aetna
| Professional | $973.77 | $973.77 | $3,822.00 | |
Anthem BCBS
| Professional | $20.39 | $20.39 | $30.00 | |
Cigna
| Professional | $159.00 | $159.00 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |