| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.28 | $175.28 | $347.19 | |
Aetna
| Professional | $163.77 | $175.28 | $347.19 | |
Anthem BCBS
| Professional | $30.00 | $153.07 | $153.07 | |
Cigna
| Professional | $148.66 | $159.00 | $178.12 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $139.00 | $139.00 | $139.00 |