| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $977.24 | $3,801.89 | |
Aetna
| Professional | $331.13 | $407.38 | $489.78 | |
Anthem BCBS
| Facility | $223.87 | $426.58 | $1,202.26 | |
Anthem BCBS
| Professional | $199.53 | $302.00 | $389.05 | |
Cigna
| Facility | $331.13 | $588.84 | $1,513.56 | |
Cigna
| Professional | $407.38 | $524.81 | $660.69 | |
Hometown Health
| Professional | $501.19 | $501.19 | $812.83 | |
Hometown Health
| Professional | $125.89 | $125.89 | $125.89 | |
Select Health
| Professional | $501.19 | $501.19 | $501.19 | |
United
| Facility | $177.83 | $275.42 | $346.74 | |
United
| Professional | $213.80 | $302.00 | $501.19 |