| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.72 | $92.72 | $92.72 | |
Aetna
| Professional | $46.45 | $59.06 | $93.86 | |
Anthem BCBS
| Professional | $40.07 | $56.92 | $141.94 | |
Cigna
| Professional | $96.75 | $96.75 | $96.75 | |
Hometown Health
| Professional | $200.00 | $350.00 | $493.00 | |
Hometown Health
| Facility | $101.44 | $101.44 | $101.44 | |
United
| Professional | $44.80 | $61.60 | $92.79 |