| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.84 | $23.38 | $28.06 |
Aetna
| Professional | $79.30 | $91.83 | $528.95 | |
Anthem BCBS
| Professional | $78.09 | $95.46 | $115.85 | |
Cigna
| Professional | $58.83 | $102.31 | $154.47 | |
Hometown Health
| Professional | $0.63 | $110.45 | $142.51 | |
Hometown Health
| Professional | 26 | $0.18 | $28.48 | $37.06 |
Hometown Health
| Professional | $0.63 | $78.40 | $127.44 | |
United
| Professional | $57.41 | $92.75 | $161.91 |