| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.78 | $62.09 | $73.05 | |
Aetna
| Professional | $53.65 | $62.09 | $76.06 | |
Anthem BCBS
| Professional | $1.00 | $68.70 | $83.37 | |
Cigna
| Professional | $54.39 | $121.45 | $176.40 | |
Hometown Health
| Professional | $0.48 | $74.12 | $112.52 | |
Hometown Health
| Professional | $0.48 | $67.38 | $117.62 | |
United
| Professional | $43.85 | $72.00 | $129.22 |