| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.63 | $229.63 | $1,096.79 | |
Aetna
| Professional | $229.63 | $229.63 | $1,096.79 | |
Anthem BCBS
| Professional | $485.17 | $490.13 | $500.00 | |
Cigna
| Professional | $159.00 | $159.00 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $251.15 | $251.15 | $251.15 |