| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.36 | $224.44 | $445.49 | |
Anthem BCBS
| Professional | $130.18 | $209.16 | $394.12 | |
Cigna
| Professional | $134.91 | $227.40 | $410.07 | |
Hometown Health
| Professional | $56.00 | $185.42 | $354.55 | |
Hometown Health
| Professional | $121.19 | $172.65 | $249.63 | |
United
| Professional | $198.74 | $269.37 | $459.82 |