| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $81.28 | $95.50 | |
Anthem BCBS
| Professional | $95.50 | $109.65 | $134.90 | |
Cigna
| Professional | $67.61 | $107.15 | $213.80 | |
Hometown Health
| Professional | $0.85 | $0.85 | $1.35 | |
Hometown Health
| Professional | $0.85 | $0.85 | $0.85 | |
Select Health
| Professional | $72.44 | $104.71 | $107.15 | |
United
| Professional | $79.43 | $102.33 | $169.82 |