| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.52 | $113.52 | $113.52 | |
Aetna
| Professional | $94.16 | $112.62 | $323.00 | |
Anthem BCBS
| Professional | $104.37 | $148.47 | $219.84 | |
Cigna
| Professional | $102.03 | $140.30 | $227.41 | |
Hometown Health
| Professional | $1.00 | $125.27 | $182.68 | |
Hometown Health
| Professional | $1.00 | $104.39 | $156.59 | |
United
| Professional | $109.49 | $140.08 | $232.33 |