| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.06 | $25.40 | $30.48 |
Aetna
| Professional | $97.41 | $108.85 | $668.46 | |
Anthem BCBS
| Professional | $97.79 | $127.15 | $189.73 | |
Cigna
| Professional | $102.11 | $171.66 | $553.22 | |
Hometown Health
| Professional | $2.79 | $143.26 | $190.00 | |
Hometown Health
| Professional | 26 | $0.90 | $30.86 | $42.95 |
Hometown Health
| Professional | $2.79 | $101.91 | $165.30 | |
United
| Professional | $113.43 | $154.19 | $523.84 |