| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.40 | $120.58 | $141.86 | |
Aetna
| Professional | $106.40 | $123.62 | $160.41 | |
Anthem BCBS
| Professional | $1.00 | $134.03 | $162.66 | |
Cigna
| Professional | $106.14 | $237.15 | $237.15 | |
Hometown Health
| Professional | $0.85 | $153.07 | $232.38 | |
Hometown Health
| Professional | $0.85 | $139.15 | $243.33 | |
United
| Facility | $135.69 | $135.69 | $135.69 | |
United
| Professional | $98.20 | $159.18 | $251.18 |