| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.25 | $176.09 | $207.62 | |
Anthem BCBS
| Professional | $145.83 | $186.90 | $219.76 | |
Cigna
| Professional | $153.06 | $154.15 | $154.15 | |
Hometown Health
| Professional | $133.11 | $181.10 | $286.14 | |
Hometown Health
| Professional | $181.10 | $181.10 | $271.64 | |
United
| Professional | $149.94 | $214.62 | $347.48 |