| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.68 | $114.68 | $123.86 | |
Aetna
| Professional | $97.04 | $113.56 | $140.41 | |
Anthem BCBS
| Professional | $93.27 | $110.30 | $161.35 | |
Cigna
| Professional | $97.38 | $142.94 | $203.46 | |
Hometown Health
| Professional | $1.17 | $121.29 | $172.55 | |
Hometown Health
| Professional | $1.17 | $105.47 | $158.21 | |
United
| Professional | $97.70 | $131.63 | $204.12 |