| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $57.54 | $64.57 | $91.20 | |
Anthem BCBS
| Professional | $66.07 | $95.50 | $151.36 | |
Cigna
| Professional | $66.07 | $89.13 | $138.04 | |
Hometown Health
| Professional | $1.05 | $1.05 | $1.70 | |
Hometown Health
| Professional | $1.05 | $1.05 | $1.05 | |
Select Health
| Professional | $63.10 | $63.10 | $87.10 | |
United
| Professional | $67.61 | $91.20 | $154.88 |