| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.68 | $777.99 | $889.52 | |
Aetna
| Professional | $538.04 | $777.99 | $896.54 | |
Anthem BCBS
| Professional | $20.30 | $173.21 | $648.77 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
Hometown Health
| Professional | $91.32 | $1,064.65 | $1,682.15 | |
Hometown Health
| Facility | $2,021.63 | $2,021.63 | $2,021.63 | |
Hometown Health
| Professional | $83.02 | $124.53 | $1,596.98 | |
United
| Professional | $734.08 | $871.72 | $1,445.24 |