| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.77 | $108.77 | $108.77 | |
Aetna
| Professional | $90.50 | $104.54 | $281.27 | |
Anthem BCBS
| Professional | $104.46 | $139.77 | $210.99 | |
Cigna
| Professional | $98.09 | $134.51 | $215.53 | |
Hometown Health
| Professional | $1.00 | $119.68 | $175.67 | |
Hometown Health
| Professional | $1.00 | $100.38 | $150.57 | |
United
| Professional | $106.05 | $135.19 | $223.07 |