| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.01 | $80.20 | $101.65 | |
Anthem BCBS
| Professional | $54.76 | $75.18 | $103.42 | |
Cigna
| Professional | $44.03 | $71.59 | $126.98 | |
Hometown Health
| Professional | $0.81 | $0.90 | $82.73 | |
Hometown Health
| Professional | $0.90 | $0.90 | $0.90 | |
United
| Professional | $77.70 | $100.67 | $167.81 |