| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.35 | $193.35 | $193.35 | |
Aetna
| Professional | $151.80 | $190.05 | $248.40 | |
Anthem BCBS
| Professional | $171.30 | $224.98 | $405.77 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Hometown Health
| Professional | $1.94 | $195.78 | $305.17 | |
Hometown Health
| Professional | $1.94 | $174.38 | $261.57 | |
United
| Professional | $173.12 | $225.54 | $365.87 |