| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.86 | $182.86 | $183.77 | |
Aetna
| Professional | $182.86 | $182.86 | $182.86 | |
Anthem BCBS
| Professional | $57.50 | $57.50 | $57.50 | |
Cigna
| Professional | $6.56 | $179.84 | $247.16 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |