| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $57.54 | $67.61 | $83.18 | |
Anthem BCBS
| Professional | $67.61 | $79.43 | $134.90 | |
Cigna
| Professional | $66.07 | $66.07 | $69.18 | |
Hometown Health
| Professional | $61.66 | $89.13 | $123.03 | |
Hometown Health
| Professional | $112.20 | $112.20 | $112.20 | |
Select Health
| Professional | $70.79 | $74.13 | $102.33 | |
United
| Professional | $66.07 | $89.13 | $138.04 |