| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.52 | $179.55 | $183.21 | |
Aetna
| Professional | $126.52 | $165.44 | $210.55 | |
Anthem BCBS
| Professional | $140.18 | $187.86 | $219.92 | |
Cigna
| Professional | $141.06 | $141.06 | $155.76 | |
Hometown Health
| Professional | $128.97 | $162.82 | $257.26 | |
Hometown Health
| Professional | $162.82 | $162.82 | $244.23 | |
United
| Professional | $161.19 | $197.60 | $353.61 |