| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $239.88 | $398.11 | |
Anthem BCBS
| Professional | $177.83 | $245.47 | $426.58 | |
Cigna
| Professional | $186.21 | $263.03 | $407.38 | |
Hometown Health
| Professional | $181.97 | $275.42 | $416.87 | |
Hometown Health
| Professional | $245.47 | $245.47 | $407.38 | |
Select Health
| Professional | $162.18 | $269.15 | $398.11 | |
United
| Professional | $194.98 | $263.03 | $426.58 |