| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.55 | $246.83 | $246.83 | |
Aetna
| Professional | $213.14 | $251.44 | $267.33 | |
Anthem BCBS
| Professional | $53.51 | $137.77 | $339.30 | |
Cigna
| Professional | $225.17 | $285.68 | $410.38 | |
Hometown Health
| Professional | $100.00 | $190.00 | $425.00 | |
Hometown Health
| Facility | $172.92 | $172.92 | $172.92 | |
United
| Professional | $207.54 | $257.32 | $410.90 |