| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.81 | $59.81 | $68.03 | |
Aetna
| Professional | $62.41 | $62.41 | $68.66 | |
Anthem BCBS
| Professional | $59.81 | $62.41 | $62.41 | |
Cigna
| Facility | $62.41 | $62.41 | $62.41 | |
Cigna
| Professional | $62.41 | $62.41 | $62.41 | |
Hometown Health
| Professional | $67.70 | $67.70 | $179.61 | |
Hometown Health
| Professional | $127.38 | $127.38 | $127.38 | |
United
| Professional | $62.41 | $62.41 | $62.41 |