| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.64 | $41.44 | $65.86 | |
Aetna
| Professional | $38.17 | $53.72 | $75.80 | |
Anthem BCBS
| Professional | $42.21 | $63.20 | $96.40 | |
Cigna
| Professional | $54.77 | $57.14 | $66.72 | |
Hometown Health
| Professional | $0.50 | $58.28 | $103.14 | |
Hometown Health
| Facility | $142.41 | $142.41 | $142.41 | |
Hometown Health
| Professional | $0.32 | $51.78 | $97.92 | |
United
| Professional | $55.84 | $70.68 | $117.82 |