| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.46 | $119.48 | $135.18 | |
Anthem BCBS
| Professional | $137.13 | $137.13 | $152.21 | |
Cigna
| Facility | $126.72 | $126.72 | $169.65 | |
Cigna
| Professional | $107.71 | $126.72 | $207.75 | |
Hometown Health
| Professional | $282.13 | $282.13 | $282.13 | |
United
| Professional | $111.19 | $125.45 | $234.26 |