| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.87 | $192.97 | $236.29 | |
Aetna
| Professional | $180.14 | $202.01 | $319.88 | |
Anthem BCBS
| Professional | $189.00 | $264.56 | $347.60 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
Hometown Health
| Professional | $197.16 | $234.13 | $350.00 | |
Hometown Health
| Facility | $172.92 | $172.92 | $172.92 | |
United
| Professional | $145.93 | $211.03 | $365.26 |