| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.74 | $106.74 | $106.74 | |
Aetna
| Professional | $82.84 | $103.18 | $130.82 | |
Anthem BCBS
| Professional | $2.95 | $117.48 | $179.94 | |
Cigna
| Professional | $92.85 | $92.85 | $115.78 | |
Hometown Health
| Professional | $0.85 | $115.34 | $182.22 | |
Hometown Health
| Professional | $0.85 | $107.93 | $161.90 | |
United
| Professional | $94.27 | $123.34 | $203.68 |