| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.83 | $58.83 | $59.84 | |
Aetna
| Professional | $45.50 | $54.59 | $4,902.09 | |
Anthem BCBS
| Professional | $84.00 | $84.00 | $225.00 | |
Cigna
| Professional | $50.86 | $50.86 | $50.86 | |
Hometown Health
| Professional | $100.00 | $350.00 | $425.00 | |
United
| Professional | $60.55 | $60.55 | $60.55 |