| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.27 | $428.00 | $684.39 | |
Aetna
| Professional | $27.05 | $40.03 | $56.75 | |
Anthem BCBS
| Professional | $21.00 | $35.64 | $67.02 | |
Cigna
| Professional | $15.37 | $23.24 | $43.03 | |
Hometown Health
| Professional | $0.44 | $36.32 | $78.14 | |
Hometown Health
| Facility | $441.55 | $441.55 | $441.55 | |
Hometown Health
| Professional | $0.28 | $25.50 | $50.09 | |
United
| Professional | $34.77 | $48.09 | $52.87 |