| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.08 | $1,052.08 | $2,159.84 | |
Aetna
| Professional | $687.10 | $1,052.08 | $2,159.84 | |
Anthem BCBS
| Professional | $456.71 | $456.71 | $500.00 | |
Cigna
| Professional | $159.00 | $159.00 | $1,000.81 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $507.53 | $507.53 | $507.53 |