| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.41 | $68.31 | $81.97 |
Aetna
| Professional | $259.66 | $305.45 | $1,703.20 | |
Anthem BCBS
| Professional | $260.66 | $357.77 | $434.18 | |
Cigna
| Professional | $269.14 | $448.17 | $513.84 | |
Hometown Health
| Professional | $3.08 | $320.17 | $445.57 | |
Hometown Health
| Professional | 26 | $0.65 | $84.36 | $112.71 |
Hometown Health
| Professional | $3.08 | $254.11 | $400.22 | |
United
| Professional | $253.39 | $401.38 | $561.67 |