| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.54 | $85.54 | $210.99 | |
Aetna
| Professional | $70.05 | $79.41 | $85.58 | |
Anthem BCBS
| Professional | $66.95 | $74.83 | $104.07 | |
Cigna
| Professional | $61.07 | $63.51 | $63.51 | |
Hometown Health
| Professional | $1.34 | $161.99 | $192.85 | |
United
| Professional | $129.79 | $214.98 | $369.96 |