| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.15 | $81.76 | $96.20 | |
Aetna
| Professional | $72.15 | $83.15 | $101.47 | |
Anthem BCBS
| Professional | $1.00 | $90.50 | $109.82 | |
Cigna
| Professional | $71.40 | $159.07 | $228.22 | |
Hometown Health
| Professional | $0.65 | $107.56 | $163.29 | |
Hometown Health
| Professional | $0.65 | $97.78 | $170.75 | |
United
| Facility | $92.15 | $92.15 | $92.15 | |
United
| Professional | $72.25 | $107.94 | $170.32 |