| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $186.21 | $338.84 | |
Anthem BCBS
| Professional | $162.18 | $162.18 | $281.84 | |
Cigna
| Professional | $186.21 | $275.42 | $316.23 | |
Hometown Health
| Professional | $1.86 | $218.78 | $302.00 | |
Hometown Health
| Professional | $1.86 | $1.86 | $245.47 | |
Select Health
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Professional | $154.88 | $229.09 | $338.84 |