| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.25 | $124.90 | $149.30 | |
Anthem BCBS
| Professional | $105.18 | $135.00 | $158.50 | |
Cigna
| Professional | $109.51 | $109.51 | $110.40 | |
Hometown Health
| Professional | $93.90 | $127.75 | $201.85 | |
Hometown Health
| Professional | $127.75 | $127.75 | $191.63 | |
United
| Professional | $108.13 | $145.25 | $250.24 |