| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.60 | $80.44 | $4,473.00 | |
Aetna
| Professional | $17.46 | $53.63 | $129.49 | |
Anthem BCBS
| Professional | $20.18 | $37.15 | $128.22 | |
Cigna
| Professional | $32.97 | $74.09 | $74.09 | |
Hometown Health
| Professional | $0.31 | $52.51 | $127.63 | |
Hometown Health
| Facility | $219.60 | $219.60 | $219.60 | |
Hometown Health
| Professional | $0.20 | $28.40 | $121.17 | |
United
| Professional | $40.09 | $75.17 | $137.16 |