| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.29 | $603.07 | $889.60 | |
Aetna
| Professional | $16.29 | $16.29 | $307.52 | |
Anthem BCBS
| Professional | $60.00 | $172.87 | $172.87 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $164.91 | $164.91 | $164.91 |