| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.20 | $713.60 | $1,069.59 | |
Anthem BCBS
| Facility | $49.76 | $49.76 | $62.20 | |
Cigna
| Facility | $33.56 | $33.56 | $33.56 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 | |
Hometown Health
| Facility | $59.05 | $59.05 | $59.05 |