| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.69 | $100.97 | $137.15 | |
Anthem BCBS
| Professional | $72.42 | $100.24 | $136.33 | |
Cigna
| Professional | $73.70 | $108.10 | $160.91 | |
Hometown Health
| Professional | $1.31 | $112.97 | $133.51 | |
Hometown Health
| Professional | $1.31 | $102.70 | $154.05 | |
United
| Professional | $90.36 | $111.77 | $182.74 |