| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.67 | $80.59 | $95.56 | |
Aetna
| Professional | $64.98 | $80.54 | $98.79 | |
Anthem BCBS
| Professional | $1.00 | $92.41 | $112.15 | |
Cigna
| Professional | $74.13 | $164.39 | $218.30 | |
Hometown Health
| Professional | $0.55 | $77.03 | $118.00 | |
Hometown Health
| Professional | $0.55 | $70.66 | $121.04 | |
United
| Professional | $64.97 | $107.10 | $169.00 |