| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $33.11 | $38.90 | $52.48 | |
Anthem BCBS
| Professional | $38.90 | $47.86 | $81.28 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Hometown Health
| Professional | $0.23 | $51.29 | $81.28 | |
Hometown Health
| Professional | $0.23 | $0.23 | $75.86 | |
Select Health
| Professional | $45.71 | $51.29 | $57.54 | |
United
| Professional | $39.81 | $51.29 | $83.18 |