| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.73 | $79.18 | $93.65 | |
Aetna
| Professional | $69.33 | $83.19 | $102.99 | |
Anthem BCBS
| Professional | $2.46 | $82.45 | $120.55 | |
Cigna
| Professional | $71.25 | $101.38 | $160.13 | |
Hometown Health
| Professional | $0.85 | $0.85 | $98.70 | |
Hometown Health
| Professional | $0.85 | $0.85 | $0.85 | |
United
| Professional | $85.00 | $103.60 | $190.08 |