| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.41 | $211.08 | $255.22 | |
Anthem BCBS
| Professional | $179.09 | $235.38 | $269.89 | |
Cigna
| Professional | $184.50 | $184.50 | $189.30 | |
Hometown Health
| Professional | $158.60 | $215.78 | $340.93 | |
Hometown Health
| Professional | $215.78 | $215.78 | $323.67 | |
United
| Professional | $185.50 | $265.02 | $429.09 |