| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.50 | $42.50 | $51.00 | |
Aetna
| Professional | $37.79 | $42.50 | $66.53 | |
Anthem BCBS
| Professional | $21.59 | $41.20 | $81.37 | |
Cigna
| Professional | $67.83 | $67.83 | $67.83 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
United
| Professional | $34.68 | $44.03 | $77.69 |