| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.47 | $61.50 | $77.47 | |
Aetna
| Professional | $32.74 | $41.47 | $58.43 | |
Anthem BCBS
| Professional | $29.28 | $47.82 | $73.58 | |
Cigna
| Professional | $32.79 | $49.90 | $79.17 | |
Hometown Health
| Professional | $0.38 | $46.53 | $82.98 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
Hometown Health
| Professional | $0.38 | $33.61 | $78.78 | |
United
| Professional | $47.19 | $61.49 | $95.99 |