| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.45 | $103.34 | $155.63 | |
Anthem BCBS
| Professional | $75.00 | $118.54 | $177.40 | |
Cigna
| Professional | $89.33 | $122.83 | $185.51 | |
Hometown Health
| Professional | $97.95 | $126.61 | $190.00 | |
Hometown Health
| Professional | $133.27 | $133.27 | $199.91 | |
United
| Professional | $102.08 | $128.88 | $202.24 |