| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.86 | $412.43 | $412.43 | |
Aetna
| Professional | $280.86 | $412.43 | $412.43 | |
Anthem BCBS
| Professional | $30.00 | $217.66 | $217.66 | |
Cigna
| Professional | $159.00 | $159.00 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $226.99 | $226.99 | $226.99 |