| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.81 | $189.88 | $321.66 | |
Anthem BCBS
| Professional | $113.94 | $196.25 | $337.68 | |
Cigna
| Professional | $106.85 | $198.08 | $361.24 | |
Hometown Health
| Professional | $90.81 | $226.72 | $685.78 | |
Hometown Health
| Professional | $100.90 | $151.35 | $357.98 | |
United
| Professional | $178.16 | $236.15 | $375.70 |