| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.64 | $86.02 | $380.34 | |
Aetna
| Professional | $69.98 | $79.79 | $308.76 | |
Anthem BCBS
| Professional | $73.45 | $132.53 | $148.29 | |
Cigna
| Professional | $65.47 | $79.64 | $127.26 | |
Hometown Health
| Professional | $0.38 | $70.34 | $126.16 | |
Hometown Health
| Professional | $0.38 | $70.09 | $105.14 | |
United
| Professional | $71.04 | $97.68 | $159.84 |