| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.53 | $101.53 | $109.65 | |
Aetna
| Professional | $85.06 | $101.12 | $119.63 | |
Anthem BCBS
| Professional | $70.86 | $84.25 | $128.75 | |
Cigna
| Facility | $55.00 | $60.00 | $80.00 | |
Cigna
| Professional | $59.83 | $96.09 | $150.38 | |
Hometown Health
| Professional | $0.95 | $94.50 | $145.43 | |
Hometown Health
| Professional | $0.95 | $96.95 | $145.43 | |
United
| Facility | $101.53 | $101.53 | $101.53 | |
United
| Professional | $69.93 | $99.99 | $166.65 |