| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.97 | $86.97 | $93.93 | |
Aetna
| Professional | $75.17 | $98.09 | $372.00 | |
Anthem BCBS
| Professional | $89.72 | $162.29 | $173.12 | |
Cigna
| Professional | $80.06 | $95.01 | $142.63 | |
Hometown Health
| Professional | $0.48 | $85.51 | $144.31 | |
Hometown Health
| Professional | $0.48 | $80.17 | $120.26 | |
United
| Professional | $78.90 | $111.25 | $191.98 |