| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $245.62 | $245.62 | $265.27 |
Aetna
| Professional | $254.75 | $289.89 | $394.94 | |
Anthem BCBS
| Professional | $238.51 | $311.94 | $461.92 | |
Cigna
| Professional | $244.69 | $357.20 | $543.74 | |
Hometown Health
| Professional | $5.25 | $276.39 | $436.70 | |
Hometown Health
| Professional | 26 | $3.50 | $240.53 | $363.35 |
Hometown Health
| Professional | $5.25 | $267.94 | $414.59 | |
United
| Professional | $257.27 | $367.66 | $586.91 |