| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.25 | $54.29 | $65.15 |
Aetna
| Professional | $119.58 | $140.74 | $793.10 | |
Anthem BCBS
| Professional | $119.38 | $150.61 | $224.24 | |
Cigna
| Professional | $122.49 | $207.66 | $567.10 | |
Hometown Health
| Professional | $1.35 | $167.65 | $217.72 | |
Hometown Health
| Professional | 26 | $0.36 | $66.05 | $84.54 |
Hometown Health
| Professional | $1.35 | $121.99 | $193.44 | |
United
| Professional | $136.15 | $186.53 | $524.76 |