| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.46 | $126.46 | $129.04 | |
Aetna
| Professional | $76.65 | $104.52 | $129.04 | |
Anthem BCBS
| Professional | $53.19 | $53.19 | $143.91 | |
Cigna
| Professional | $60.12 | $60.12 | $224.98 | |
Hometown Health
| Professional | $103.16 | $232.84 | $257.89 | |
United
| Professional | $48.93 | $62.49 | $101.30 |