| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.18 | $177.58 | $228.66 | |
Anthem BCBS
| Professional | $138.62 | $173.27 | $255.50 | |
Cigna
| Professional | $149.65 | $193.67 | $284.13 | |
Hometown Health
| Professional | $161.53 | $181.40 | $260.56 | |
Hometown Health
| Professional | $164.91 | $164.91 | $247.37 | |
United
| Professional | $158.57 | $179.45 | $306.82 |