| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.41 | $58.33 | $179.12 | |
Aetna
| Professional | $39.97 | $67.39 | $115.63 | |
Anthem BCBS
| Professional | $40.96 | $66.52 | $96.05 | |
Cigna
| Professional | $49.00 | $75.63 | $136.00 | |
Hometown Health
| Professional | $0.70 | $62.40 | $102.73 | |
Hometown Health
| Facility | $101.44 | $101.44 | $101.44 | |
Hometown Health
| Professional | $0.70 | $52.04 | $89.15 | |
United
| Professional | $54.89 | $90.17 | $125.06 |