| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.10 | $174.10 | $750.35 | |
Aetna
| Professional | $174.10 | $174.10 | $333.70 | |
Anthem BCBS
| Professional | $246.81 | $248.99 | $650.00 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $246.30 | $246.30 | $246.30 |