| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.17 | $51.04 | $63.05 | |
Aetna
| Professional | $44.40 | $55.21 | $69.05 | |
Anthem BCBS
| Professional | $1.58 | $53.00 | $81.04 | |
Cigna
| Professional | $45.27 | $66.36 | $104.98 | |
Hometown Health
| Professional | $0.45 | $0.45 | $65.68 | |
Hometown Health
| Professional | $0.45 | $0.45 | $0.45 | |
United
| Professional | $56.88 | $72.89 | $134.63 |