| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.84 | $320.39 | $674.05 | |
Aetna
| Professional | $298.52 | $320.39 | $444.24 | |
Anthem BCBS
| Professional | $141.91 | $216.68 | $650.00 | |
Cigna
| Professional | $159.00 | $159.00 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $190.31 | $190.31 | $190.31 |