| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.53 | $20.01 | $506.63 | |
Aetna
| Professional | $17.87 | $27.10 | $598.53 | |
Anthem BCBS
| Professional | $20.30 | $171.50 | $614.62 | |
Cigna
| Professional | $14.39 | $17.76 | $375.28 | |
Hometown Health
| Professional | $1.20 | $25.85 | $601.17 | |
Hometown Health
| Facility | $219.60 | $219.60 | $219.60 | |
Hometown Health
| Professional | $0.75 | $17.09 | $397.16 | |
United
| Facility | $18.53 | $18.53 | $18.53 | |
United
| Professional | $75.59 | $163.72 | $329.86 |