| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.72 | $72.72 | $72.72 | |
Aetna
| Professional | $44.84 | $72.72 | $102.92 | |
Anthem BCBS
| Professional | $98.48 | $207.97 | $273.73 | |
Cigna
| Professional | $23.06 | $27.62 | $82.55 | |
Hometown Health
| Professional | $150.00 | $350.00 | $493.00 | |
United
| Professional | $64.12 | $111.73 | $190.29 |