| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.43 | $130.43 | $133.09 | |
Aetna
| Professional | $85.36 | $120.49 | $133.09 | |
Anthem BCBS
| Professional | $54.86 | $54.86 | $148.43 | |
Cigna
| Professional | $62.01 | $62.01 | $145.01 | |
Hometown Health
| Professional | $106.39 | $240.14 | $265.98 | |
United
| Professional | $50.47 | $71.38 | $104.49 |