| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $58.88 | $67.61 | $81.28 | |
Anthem BCBS
| Professional | $66.07 | $85.11 | $131.83 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
Hometown Health
| Professional | $0.40 | $100.00 | $144.54 | |
Hometown Health
| Professional | $0.40 | $97.72 | $165.96 | |
Select Health
| Professional | $69.18 | $109.65 | $131.83 | |
United
| Professional | $66.07 | $93.33 | $158.49 |