| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.95 | $155.71 | $216.80 | |
Aetna
| Professional | $78.98 | $81.95 | $83.93 | |
Anthem BCBS
| Professional | $75.53 | $82.94 | $83.93 | |
Cigna
| Professional | $98.74 | $98.74 | $104.30 | |
Hometown Health
| Professional | $100.00 | $350.00 | $425.00 | |
United
| Professional | $98.74 | $98.74 | $104.66 |