| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.59 | $45.66 | $117.06 | |
Aetna
| Professional | $36.31 | $41.59 | $58.38 | |
Anthem BCBS
| Professional | $34.92 | $47.04 | $64.14 | |
Cigna
| Professional | $35.44 | $50.93 | $74.52 | |
Hometown Health
| Professional | $0.93 | $40.82 | $55.87 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
Hometown Health
| Professional | $0.93 | $36.29 | $56.63 | |
United
| Professional | $37.78 | $49.88 | $74.34 |