| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $144.54 | $234.42 | |
Anthem BCBS
| Professional | $120.23 | $169.82 | $257.04 | |
Cigna
| Professional | $117.49 | $151.36 | $229.09 | |
Hometown Health
| Professional | $89.13 | $147.91 | $234.42 | |
Hometown Health
| Professional | $117.49 | $154.88 | $223.87 | |
Select Health
| Professional | $102.33 | $147.91 | $147.91 | |
United
| Professional | $120.23 | $158.49 | $234.42 |