| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.68 | $59.05 | $154.41 | |
Aetna
| Professional | $48.34 | $55.68 | $77.55 | |
Anthem BCBS
| Professional | $46.47 | $62.82 | $85.26 | |
Cigna
| Professional | $47.05 | $67.79 | $98.42 | |
Hometown Health
| Professional | $1.38 | $54.57 | $74.50 | |
Hometown Health
| Facility | $101.44 | $101.44 | $101.44 | |
Hometown Health
| Professional | $1.38 | $48.44 | $75.51 | |
United
| Professional | $50.37 | $66.22 | $98.05 |