| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.47 | $41.56 | $66.22 | |
Aetna
| Professional | $33.32 | $46.72 | $73.92 | |
Anthem BCBS
| Professional | $28.16 | $44.44 | $78.14 | |
Cigna
| Professional | $35.32 | $55.31 | $93.59 | |
Hometown Health
| Professional | $0.45 | $51.02 | $89.29 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
Hometown Health
| Professional | $0.45 | $48.53 | $95.67 | |
United
| Professional | $40.70 | $57.96 | $101.42 |