| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.17 | $228.17 | $232.83 | |
Aetna
| Professional | $78.04 | $168.36 | $232.83 | |
Anthem BCBS
| Professional | $114.18 | $114.18 | $265.89 | |
Cigna
| Professional | $126.83 | $135.78 | $135.78 | |
Hometown Health
| Professional | $200.00 | $420.12 | $465.33 | |
United
| Professional | $88.29 | $112.76 | $187.93 |