| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.88 | $25.79 | $429.81 | |
Aetna
| Professional | $23.88 | $159.31 | $505.44 | |
Anthem BCBS
| Professional | $25.28 | $50.70 | $520.27 | |
Cigna
| Professional | $21.47 | $42.99 | $576.04 | |
Hometown Health
| Professional | $20.21 | $317.61 | $570.03 | |
Hometown Health
| Facility | $441.55 | $441.55 | $441.55 | |
Hometown Health
| Professional | $18.37 | $27.56 | $551.64 | |
United
| Professional | $44.77 | $291.42 | $342.85 |