| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.97 | $777.99 | $793.87 | |
Aetna
| Professional | $71.66 | $701.58 | $853.56 | |
Anthem BCBS
| Professional | $169.35 | $793.87 | $793.87 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Hometown Health
| Professional | $218.96 | $295.60 | $400.00 | |
Hometown Health
| Facility | $2,021.63 | $2,021.63 | $2,021.63 | |
Hometown Health
| Professional | $218.96 | $218.96 | $218.96 | |
United
| Professional | $60.50 | $198.17 | $457.01 |