| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.87 | $68.87 | $68.87 | |
Aetna
| Professional | $56.84 | $64.61 | $83.55 | |
Anthem BCBS
| Professional | $66.53 | $95.48 | $134.75 | |
Cigna
| Professional | $66.70 | $88.99 | $137.66 | |
Hometown Health
| Professional | $1.05 | $1.05 | $200.00 | |
Hometown Health
| Professional | $1.05 | $1.05 | $1.05 | |
United
| Professional | $69.12 | $89.79 | $148.93 |