| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.17 | $124.29 | $126.82 | |
Aetna
| Professional | $90.79 | $123.02 | $146.60 | |
Anthem BCBS
| Professional | $102.62 | $136.12 | $155.91 | |
Cigna
| Professional | $107.43 | $107.43 | $110.86 | |
Hometown Health
| Professional | $90.33 | $119.61 | $188.98 | |
Hometown Health
| Professional | $119.61 | $119.61 | $179.42 | |
United
| Professional | $115.01 | $145.91 | $252.28 |