| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.84 | $55.84 | $55.84 | |
Aetna
| Professional | $40.46 | $55.84 | $84.19 | |
Anthem BCBS
| Professional | $61.29 | $86.04 | $86.04 | |
Cigna
| Facility | $174.88 | $174.88 | $174.88 | |
Hometown Health
| Professional | $9.68 | $137.03 | $200.00 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Professional | $97.48 | $123.79 | $201.48 |