| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.24 | $39.27 | $49.00 | |
Aetna
| Professional | $39.92 | $49.46 | $63.70 | |
Anthem BCBS
| Professional | $35.86 | $51.50 | $70.95 | |
Cigna
| Professional | $40.86 | $60.48 | $96.60 | |
Hometown Health
| Professional | $39.34 | $67.45 | $87.69 | |
Hometown Health
| Facility | $102.23 | $102.23 | $102.23 | |
Hometown Health
| Professional | $43.71 | $47.25 | $65.56 | |
United
| Professional | $53.07 | $71.92 | $124.43 |