| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.52 | $149.60 | $1,274.00 | |
Aetna
| Professional | $123.47 | $139.94 | $187.89 | |
Anthem BCBS
| Professional | $115.76 | $135.26 | $203.48 | |
Cigna
| Professional | $118.08 | $172.97 | $253.07 | |
Hometown Health
| Professional | $115.99 | $150.57 | $202.58 | |
Hometown Health
| Professional | $110.47 | $165.71 | $205.32 | |
United
| Professional | $125.07 | $166.41 | $255.43 |