| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.79 | $215.79 | $215.79 | |
Aetna
| Professional | $176.24 | $205.63 | $346.81 | |
Anthem BCBS
| Professional | $207.64 | $265.42 | $418.93 | |
Cigna
| Professional | $217.62 | $275.56 | $436.43 | |
Hometown Health
| Professional | $2.00 | $240.25 | $350.00 | |
Hometown Health
| Professional | $2.00 | $200.21 | $300.32 | |
United
| Professional | $211.64 | $263.55 | $451.57 |