| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.89 | $107.44 | $109.64 | |
Aetna
| Professional | $73.39 | $105.81 | $125.06 | |
Anthem BCBS
| Professional | $88.41 | $117.86 | $138.72 | |
Cigna
| Professional | $92.55 | $92.55 | $93.15 | |
Hometown Health
| Professional | $77.22 | $102.47 | $161.90 | |
Hometown Health
| Professional | $102.47 | $102.47 | $153.71 | |
United
| Professional | $91.10 | $128.10 | $207.39 |