| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.42 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $46.25 | $70.22 | $89.11 | |
Anthem BCBS
| Professional | $45.56 | $68.17 | $102.96 | |
Cigna
| Professional | $44.38 | $68.56 | $127.68 | |
Hometown Health
| Professional | $35.72 | $62.73 | $122.17 | |
Hometown Health
| Professional | $2.10 | $39.70 | $118.23 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 | |
United
| Professional | $71.04 | $82.14 | $139.86 |