| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $245.47 | $436.52 | |
Anthem BCBS
| Professional | $186.21 | $263.03 | $436.52 | |
Cigna
| Professional | $186.21 | $263.03 | $416.87 | |
Hometown Health
| Professional | $181.97 | $281.84 | $426.58 | |
Hometown Health
| Professional | $251.19 | $257.04 | $416.87 | |
Select Health
| Professional | $165.96 | $275.42 | $407.38 | |
United
| Professional | $194.98 | $269.15 | $436.52 |