| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.46 | $126.73 | $658.66 | |
Anthem BCBS
| Professional | $106.03 | $166.68 | $228.06 | |
Cigna
| Professional | $93.82 | $138.59 | $208.57 | |
Hometown Health
| Professional | $0.85 | $137.47 | $216.22 | |
Hometown Health
| Professional | $0.85 | $108.06 | $187.47 | |
United
| Professional | $104.10 | $134.16 | $227.70 |