| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.74 | $202.82 | $467.56 | |
Anthem BCBS
| Professional | $123.31 | $143.53 | $209.15 | |
Cigna
| Professional | $107.41 | $199.51 | $386.54 | |
Hometown Health
| Professional | $98.50 | $191.52 | $412.22 | |
Hometown Health
| Professional | $109.44 | $118.90 | $254.75 | |
United
| Professional | $214.32 | $280.02 | $452.34 |