| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.12 | $187.28 | $227.23 | |
Anthem BCBS
| Professional | $184.07 | $212.28 | $294.77 | |
Cigna
| Professional | $184.50 | $184.50 | $192.57 | |
Hometown Health
| Professional | $158.62 | $237.36 | $340.93 | |
Hometown Health
| Professional | $215.78 | $215.78 | $323.67 | |
United
| Professional | $181.83 | $250.58 | $426.36 |