| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.08 | $126.37 | $260.05 | |
Anthem BCBS
| Professional | $84.06 | $152.52 | $305.47 | |
Cigna
| Professional | $93.03 | $158.43 | $304.00 | |
Hometown Health
| Professional | $74.12 | $149.28 | $1,495.83 | |
Hometown Health
| Professional | $82.69 | $124.04 | $286.52 | |
United
| Professional | $136.40 | $184.00 | $304.85 |