| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.92 | $63.37 | $96.24 | |
Anthem BCBS
| Professional | $35.82 | $59.64 | $96.36 | |
Cigna
| Professional | $41.68 | $70.95 | $124.99 | |
Hometown Health
| Professional | $37.14 | $67.05 | $100.00 | |
Hometown Health
| Professional | $37.14 | $37.14 | $122.91 | |
United
| Professional | $74.91 | $97.61 | $154.35 |