| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.99 | $196.43 | $395.66 | |
Aetna
| Professional | $60.78 | $90.75 | $369.00 | |
Anthem BCBS
| Professional | $74.33 | $97.20 | $146.57 | |
Cigna
| Facility | $55.00 | $70.00 | $85.00 | |
Cigna
| Professional | $72.39 | $99.41 | $155.13 | |
Hometown Health
| Professional | $80.78 | $108.38 | $160.88 | |
Hometown Health
| Professional | $111.72 | $111.72 | $167.58 | |
United
| Professional | $82.88 | $104.79 | $165.32 |