| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.61 | $109.32 | $135.91 | |
Anthem BCBS
| Professional | $105.18 | $140.24 | $205.12 | |
Cigna
| Professional | $92.85 | $101.63 | $262.67 | |
Hometown Health
| Professional | $1.22 | $122.40 | $177.42 | |
Hometown Health
| Professional | $0.77 | $0.77 | $197.13 | |
United
| Professional | $100.91 | $127.05 | $225.34 |