| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $91.20 | $102.33 | $123.03 | |
Anthem BCBS
| Professional | $102.33 | $123.03 | $204.17 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Hometown Health
| Professional | $0.58 | $151.36 | $218.78 | |
Hometown Health
| Professional | $0.58 | $151.36 | $251.19 | |
Select Health
| Professional | $109.65 | $165.96 | $194.98 | |
United
| Professional | $100.00 | $134.90 | $229.09 |