| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.62 | $124.35 | $566.58 | |
Anthem BCBS
| Professional | $89.35 | $111.68 | $178.00 | |
Cigna
| Professional | $91.32 | $123.02 | $198.10 | |
Hometown Health
| Professional | $89.15 | $127.04 | $192.87 | |
Hometown Health
| Professional | $115.49 | $115.49 | $173.24 | |
United
| Professional | $83.52 | $106.92 | $187.12 |