| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.89 | $102.89 | $111.12 | |
Aetna
| Professional | $47.72 | $93.91 | $111.12 | |
Anthem BCBS
| Professional | $70.09 | $110.00 | $145.16 | |
Cigna
| Professional | $92.60 | $127.86 | $198.79 | |
Hometown Health
| Professional | $100.00 | $110.00 | $200.00 | |
Hometown Health
| Facility | $331.45 | $331.45 | $331.45 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $59.44 | $95.26 | $174.02 |