| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.73 | $246.46 | $903.87 | |
Anthem BCBS
| Professional | $141.01 | $181.44 | $274.41 | |
Cigna
| Professional | $55.00 | $123.00 | $302.00 | |
Hometown Health
| Professional | $1.78 | $165.64 | $230.51 | |
Hometown Health
| Professional | $1.78 | $132.57 | $207.05 | |
United
| Professional | $149.44 | $224.16 | $340.91 |