| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.18 | $79.18 | $93.65 | |
Aetna
| Professional | $67.55 | $85.08 | $115.68 | |
Anthem BCBS
| Professional | $2.82 | $95.53 | $166.70 | |
Cigna
| Professional | $82.70 | $113.10 | $178.32 | |
Hometown Health
| Professional | $0.85 | $0.85 | $85.00 | |
Hometown Health
| Professional | $0.85 | $0.85 | $0.85 | |
United
| Professional | $90.89 | $122.57 | $201.29 |