| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.58 | $129.60 | $197.54 | |
Anthem BCBS
| Professional | $116.28 | $157.65 | $242.65 | |
Cigna
| Professional | $115.76 | $115.76 | $115.76 | |
Hometown Health
| Professional | $1.48 | $138.69 | $212.24 | |
Hometown Health
| Professional | $1.48 | $115.98 | $173.97 | |
United
| Professional | $123.84 | $160.86 | $260.43 |