| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $67.61 | $95.50 | $128.82 | |
Anthem BCBS
| Professional | $53.70 | $104.71 | $151.36 | |
Cigna
| Professional | $60.26 | $60.26 | $223.87 | |
Hometown Health
| Professional | $104.71 | $173.78 | $263.03 | |
Select Health
| Professional | $147.91 | $151.36 | $151.36 | |
United
| Professional | $48.98 | $69.18 | $151.36 |