| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.64 | $55.10 | $90.21 | |
Anthem BCBS
| Professional | $24.33 | $48.41 | $80.61 | |
Cigna
| Professional | $24.96 | $49.50 | $99.75 | |
Hometown Health
| Professional | $22.74 | $40.42 | $100.57 | |
Hometown Health
| Professional | $3.00 | $23.94 | $98.60 | |
United
| Professional | $34.35 | $61.56 | $107.72 |