| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $346.62 | |
Aetna
| Professional | $318.00 | $318.00 | $349.80 | |
Anthem BCBS
| Professional | $318.00 | $425.24 | $425.24 | |
Cigna
| Facility | $318.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Hometown Health
| Professional | $179.61 | $345.00 | $1,450.00 | |
Hometown Health
| Professional | $127.38 | $127.38 | $127.38 | |
United
| Professional | $318.00 | $318.00 | $318.00 |