| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.38 | $48.65 | $58.38 |
Aetna
| Professional | $375.13 | $418.85 | $464.01 | |
Anthem BCBS
| Professional | $394.65 | $501.17 | $667.93 | |
Cigna
| Professional | $351.38 | $564.66 | $777.24 | |
Hometown Health
| Professional | $2.23 | $513.34 | $645.10 | |
Hometown Health
| Professional | 26 | $0.25 | $59.03 | $75.55 |
Hometown Health
| Professional | $2.23 | $384.42 | $592.32 | |
United
| Professional | $377.62 | $444.50 | $815.82 |