| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.30 | $201.63 | $300.38 | |
Anthem BCBS
| Professional | $108.02 | $192.84 | $332.17 | |
Cigna
| Professional | $108.45 | $201.86 | $359.20 | |
Hometown Health
| Professional | $80.00 | $175.79 | $331.80 | |
Hometown Health
| Professional | $111.06 | $166.59 | $219.85 | |
United
| Professional | $186.00 | $245.68 | $404.43 |