| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.42 | $51.42 | $52.61 | |
Aetna
| Professional | $42.13 | $48.53 | $58.73 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Hometown Health
| Professional | $0.57 | $60.31 | $94.50 | |
Hometown Health
| Professional | $0.57 | $54.00 | $81.00 | |
United
| Professional | $50.74 | $65.59 | $102.39 |