| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.26 | $122.26 | $186.87 | |
Anthem BCBS
| Professional | $85.14 | $110.46 | $171.88 | |
Cigna
| Professional | $82.86 | $117.20 | $189.88 | |
Hometown Health
| Professional | $1.75 | $118.93 | $186.31 | |
Hometown Health
| Professional | $0.90 | $90.41 | $119.20 | |
United
| Professional | $110.52 | $131.51 | $221.77 |