| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $64.57 | $81.28 | |
Anthem BCBS
| Professional | $74.13 | $87.10 | $100.00 | |
Cigna
| Professional | $61.66 | $72.44 | $162.18 | |
Hometown Health
| Professional | $0.63 | $1.00 | $104.71 | |
Hometown Health
| Professional | $0.63 | $0.63 | $117.49 | |
Select Health
| Professional | $75.86 | $77.62 | $79.43 | |
United
| Professional | $58.88 | $77.62 | $138.04 |