| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.96 | $52.68 | $147.86 | |
Aetna
| Professional | $37.46 | $48.52 | $224.00 | |
Anthem BCBS
| Professional | $37.14 | $46.99 | $56.75 | |
Cigna
| Professional | $40.42 | $55.76 | $81.50 | |
Hometown Health
| Professional | $0.36 | $50.54 | $88.08 | |
Hometown Health
| Facility | $101.44 | $101.44 | $101.44 | |
Hometown Health
| Professional | $0.36 | $38.15 | $79.11 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $49.08 | $62.91 | $108.69 |