| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.95 | $188.72 | $1,136.45 | |
Anthem BCBS
| Professional | $177.48 | $231.65 | $281.12 | |
Cigna
| Professional | $182.82 | $299.02 | $351.22 | |
Hometown Health
| Professional | $1.36 | $219.36 | $305.27 | |
Hometown Health
| Professional | $1.36 | $175.61 | $274.20 | |
United
| Professional | $169.02 | $206.23 | $370.58 |