| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.71 | $212.39 | $710.30 | |
Anthem BCBS
| Professional | $113.40 | $194.12 | $312.04 | |
Cigna
| Professional | $115.82 | $205.99 | $351.56 | |
Hometown Health
| Professional | $106.06 | $180.30 | $349.58 | |
Hometown Health
| Professional | $1.50 | $130.91 | $219.87 | |
United
| Professional | $141.51 | $240.45 | $421.79 |