| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $32.36 | $43.65 | $57.54 | |
Anthem BCBS
| Professional | $48.98 | $51.29 | $75.86 | |
Cigna
| Professional | $43.65 | $43.65 | $51.29 | |
Hometown Health
| Professional | $83.18 | $100.00 | $144.54 | |
United
| Professional | $28.18 | $41.69 | $87.10 |