| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.53 | $112.87 | $116.17 | |
Aetna
| Professional | $95.22 | $110.28 | $131.93 | |
Anthem BCBS
| Professional | $106.75 | $123.94 | $170.47 | |
Cigna
| Professional | $107.43 | $107.43 | $113.15 | |
Hometown Health
| Professional | $90.33 | $131.57 | $188.98 | |
Hometown Health
| Professional | $119.61 | $119.61 | $179.42 | |
United
| Professional | $116.16 | $137.41 | $240.58 |