| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.19 | $84.16 | $100.99 |
Aetna
| Professional | $643.27 | $673.33 | $4,219.21 | |
Anthem BCBS
| Professional | $634.67 | $995.14 | $1,101.04 | |
Cigna
| Professional | $584.20 | $1,006.53 | $1,249.48 | |
Hometown Health
| Professional | $547.78 | $840.96 | $1,040.29 | |
Hometown Health
| Professional | 26 | $72.36 | $108.18 | $134.27 |
Hometown Health
| Professional | $612.21 | $612.21 | $934.40 | |
United
| Professional | $30.00 | $624.26 | $1,348.66 |