| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.55 | $111.83 | $1,274.00 | |
Aetna
| Professional | $93.70 | $104.96 | $163.03 | |
Anthem BCBS
| Professional | $88.08 | $99.01 | $152.61 | |
Cigna
| Professional | $89.58 | $130.72 | $188.25 | |
Hometown Health
| Professional | $92.73 | $115.89 | $158.27 | |
Hometown Health
| Professional | $88.31 | $132.47 | $163.56 | |
United
| Professional | $97.80 | $123.48 | $187.20 |