| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.92 | $210.92 | $210.92 | |
Aetna
| Professional | $167.85 | $197.23 | $314.70 | |
Anthem BCBS
| Professional | $172.85 | $245.14 | $426.92 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
Hometown Health
| Professional | $2.02 | $201.50 | $319.80 | |
Hometown Health
| Professional | $2.02 | $182.74 | $274.11 | |
United
| Professional | $176.44 | $236.99 | $374.23 |