| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.93 | $754.80 | $1,274.00 | |
Aetna
| Professional | $92.25 | $163.26 | $241.14 | |
Anthem BCBS
| Professional | $166.91 | $485.61 | $842.80 | |
Cigna
| Professional | $160.84 | $241.91 | $342.51 | |
Hometown Health
| Professional | $190.00 | $306.48 | $493.00 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Professional | $92.50 | $153.57 | $424.07 |