| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.77 | $108.77 | $108.77 | |
Aetna
| Professional | $87.59 | $102.66 | $149.63 | |
Anthem BCBS
| Professional | $103.82 | $129.84 | $210.99 | |
Cigna
| Professional | $97.42 | $134.51 | $218.45 | |
Hometown Health
| Professional | $1.00 | $120.46 | $175.67 | |
Hometown Health
| Professional | $1.00 | $100.38 | $150.57 | |
United
| Professional | $106.52 | $135.19 | $229.83 |