| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.06 | $155.43 | $545.55 | |
Aetna
| Professional | $120.51 | $140.72 | $185.23 | |
Anthem BCBS
| Professional | $54.74 | $155.22 | $333.39 | |
Cigna
| Professional | $159.00 | $303.29 | $363.38 | |
Hometown Health
| Professional | $100.00 | $350.00 | $425.00 |