| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $151.36 | $186.21 | |
Anthem BCBS
| Professional | $154.88 | $177.83 | $309.03 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Hometown Health
| Professional | $144.54 | $218.78 | $302.00 | |
Hometown Health
| Professional | $269.15 | $269.15 | $269.15 | |
Select Health
| Professional | $165.96 | $181.97 | $239.88 | |
United
| Professional | $151.36 | $213.80 | $316.23 |