| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.88 | $143.12 | $293.58 | |
Aetna
| Professional | $45.19 | $69.40 | $259.83 | |
Anthem BCBS
| Professional | $11.83 | $73.98 | $101.70 | |
Cigna
| Facility | $55.00 | $70.00 | $81.00 | |
Cigna
| Professional | $49.00 | $79.00 | $110.66 | |
Hometown Health
| Professional | $0.45 | $72.31 | $114.20 | |
Hometown Health
| Professional | $0.45 | $76.13 | $114.20 | |
United
| Professional | $57.79 | $78.75 | $125.39 |