| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.72 | $169.78 | $920.70 | |
Anthem BCBS
| Professional | $165.13 | $247.28 | $328.23 | |
Cigna
| Professional | $56.32 | $200.25 | $287.72 | |
Hometown Health
| Professional | $0.75 | $168.43 | $242.82 | |
Hometown Health
| Professional | $0.75 | $143.86 | $210.54 | |
United
| Professional | $149.11 | $209.68 | $327.08 |