| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $223.87 | $1,023.29 | |
Aetna
| Professional | $131.83 | $165.96 | $204.17 | |
Anthem BCBS
| Professional | $154.88 | $154.88 | $263.03 | |
Cigna
| Professional | $138.04 | $194.98 | $302.00 | |
Hometown Health
| Professional | $1.29 | $1.29 | $6.46 | |
Hometown Health
| Professional | $1.29 | $1.29 | $1.29 | |
United
| Professional | $120.23 | $177.83 | $275.42 |