| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.18 | $31.24 | $37.49 |
Aetna
| Professional | $169.28 | $242.52 | $1,532.71 | |
Anthem BCBS
| Professional | $191.67 | $191.67 | $232.61 | |
Cigna
| Professional | $162.63 | $362.53 | $450.04 | |
Hometown Health
| Professional | $1.25 | $257.16 | $365.69 | |
Hometown Health
| Professional | 26 | $0.34 | $37.94 | $50.68 |
Hometown Health
| Professional | $1.25 | $220.80 | $347.18 | |
United
| Professional | $168.39 | $227.00 | $490.42 |