| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.05 | $151.94 | $189.64 | |
Anthem BCBS
| Professional | $145.83 | $194.44 | $284.39 | |
Cigna
| Professional | $135.41 | $148.30 | $380.90 | |
Hometown Health
| Professional | $2.00 | $178.41 | $258.89 | |
Hometown Health
| Professional | $1.25 | $1.25 | $287.67 | |
United
| Professional | $141.31 | $177.10 | $314.08 |