| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.66 | $2,045.60 | $11,735.20 | |
Anthem BCBS
| Professional | $484.24 | $1,794.18 | $3,572.65 | |
Cigna
| Professional | $432.20 | $1,858.42 | $3,590.57 | |
Hometown Health
| Professional | $190.00 | $589.17 | $3,048.89 | |
Hometown Health
| Professional | $6.12 | $529.20 | $2,854.22 | |
United
| Professional | $2,157.05 | $3,006.94 | $4,532.88 |