| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.22 | $60.22 | $60.22 | |
Aetna
| Professional | $49.26 | $56.08 | $72.22 | |
Anthem BCBS
| Professional | $57.87 | $73.61 | $117.52 | |
Cigna
| Professional | $58.20 | $77.70 | $120.04 | |
Hometown Health
| Professional | $0.90 | $0.90 | $200.00 | |
Hometown Health
| Professional | $0.90 | $0.90 | $0.90 | |
United
| Professional | $60.16 | $76.40 | $124.07 |