| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $122.46 | |
Anthem BCBS
| Professional | $50.00 | $82.91 | $206.33 | |
Cigna
| Professional | $97.00 | $142.59 | $200.00 | |
Hometown Health
| Professional | $2.00 | $2.00 | $350.00 | |
Hometown Health
| Professional | $2.00 | $2.00 | $2.00 | |
United
| Professional | $66.95 | $66.95 | $66.95 |