| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.34 | $149.24 | $176.46 | |
Aetna
| Professional | $130.84 | $149.99 | $198.48 | |
Anthem BCBS
| Professional | $1.00 | $165.98 | $201.43 | |
Cigna
| Professional | $132.53 | $294.55 | $395.80 | |
Hometown Health
| Professional | $1.00 | $178.30 | $270.69 | |
Hometown Health
| Professional | $1.00 | $162.09 | $287.76 | |
United
| Professional | $110.49 | $175.40 | $312.14 |