| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.68 | $191.57 | $235.04 | |
Anthem BCBS
| Professional | $179.09 | $238.79 | $349.27 | |
Cigna
| Professional | $161.27 | $173.10 | $415.60 | |
Hometown Health
| Professional | $2.31 | $198.33 | $281.83 | |
Hometown Health
| Professional | $1.45 | $1.45 | $313.16 | |
United
| Professional | $174.45 | $219.45 | $420.09 |