| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.19 | $165.04 | $198.05 | |
Aetna
| Professional | $149.37 | $165.16 | $184.71 | |
Anthem BCBS
| Professional | $140.74 | $177.71 | $230.55 | |
Cigna
| Professional | $137.22 | $214.47 | $306.27 | |
Hometown Health
| Professional | $1.30 | $1.30 | $6.48 | |
Hometown Health
| Professional | $1.30 | $1.30 | $1.30 | |
United
| Professional | $121.07 | $176.91 | $299.33 |