| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.24 | $53.28 | $57.54 | |
Aetna
| Professional | $46.03 | $52.39 | $72.11 | |
Anthem BCBS
| Professional | $44.34 | $59.20 | $80.37 | |
Cigna
| Professional | $44.64 | $65.08 | $94.04 | |
Hometown Health
| Professional | $0.51 | $54.15 | $75.98 | |
Hometown Health
| Facility | $101.44 | $101.44 | $101.44 | |
Hometown Health
| Professional | $0.51 | $47.47 | $77.01 | |
United
| Professional | $46.72 | $62.77 | $96.36 |