| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.09 | $51.94 | $51.94 | |
Aetna
| Professional | $44.85 | $52.91 | $120.00 | |
Anthem BCBS
| Professional | $44.57 | $67.67 | $132.24 | |
Cigna
| Professional | $47.57 | $60.11 | $86.84 | |
Hometown Health
| Professional | $100.00 | $190.00 | $425.00 | |
Hometown Health
| Facility | $172.92 | $172.92 | $172.92 | |
United
| Professional | $43.51 | $55.37 | $87.94 |