| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.60 | $70.06 | $108.52 | |
Anthem BCBS
| Professional | $76.66 | $103.05 | $143.97 | |
Cigna
| Professional | $80.63 | $89.28 | $89.28 | |
Hometown Health
| Professional | $55.40 | $85.87 | $149.29 | |
Hometown Health
| Professional | $55.40 | $83.10 | $96.38 | |
United
| Professional | $93.16 | $106.24 | $173.89 |