| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.88 | $109.41 | $132.85 | |
Anthem BCBS
| Professional | $108.94 | $124.14 | $174.75 | |
Cigna
| Professional | $109.51 | $109.51 | $112.34 | |
Hometown Health
| Professional | $93.91 | $140.53 | $201.85 | |
Hometown Health
| Professional | $127.75 | $127.75 | $191.63 | |
United
| Professional | $108.73 | $144.84 | $246.85 |