| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.22 | $388.22 | $388.22 | |
Aetna
| Professional | $278.48 | $359.46 | $478.03 | |
Anthem BCBS
| Professional | $288.77 | $360.20 | $609.82 | |
Cigna
| Professional | $285.02 | $369.43 | $607.12 | |
Hometown Health
| Professional | $2.29 | $364.59 | $546.89 | |
Hometown Health
| Professional | $2.29 | $364.59 | $546.89 | |
United
| Professional | $281.26 | $349.83 | $591.27 |