| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.54 | $81.54 | $83.20 | |
Aetna
| Professional | $30.35 | $57.74 | $83.20 | |
Anthem BCBS
| Professional | $34.29 | $34.29 | $92.79 | |
Cigna
| Professional | $38.77 | $38.77 | $110.78 | |
Hometown Health
| Professional | $79.00 | $150.13 | $166.29 | |
United
| Professional | $31.55 | $40.29 | $65.31 |