| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.38 | $37.53 | $45.04 |
Aetna
| Professional | $280.95 | $296.87 | $1,850.93 | |
Anthem BCBS
| Professional | $279.08 | $333.50 | $404.73 | |
Cigna
| Professional | $280.14 | $484.16 | $549.54 | |
Hometown Health
| Professional | $1.89 | $324.41 | $451.47 | |
Hometown Health
| Professional | 26 | $0.45 | $45.00 | $59.95 |
Hometown Health
| Professional | $1.89 | $266.45 | $405.51 | |
United
| Professional | $263.23 | $339.07 | $591.82 |