| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.86 | $356.33 | $401.31 | |
Aetna
| Professional | $24.00 | $54.47 | $98.97 | |
Anthem BCBS
| Professional | $22.80 | $41.69 | $50.10 | |
Cigna
| Professional | $23.43 | $60.43 | $104.56 | |
Hometown Health
| Professional | $0.20 | $35.25 | $99.20 | |
Hometown Health
| Professional | $0.13 | $31.32 | $93.00 | |
United
| Professional | $69.30 | $93.20 | $154.78 |