| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.30 | $131.37 | $770.21 | |
Anthem BCBS
| Professional | $124.14 | $202.10 | $215.36 | |
Cigna
| Professional | $109.51 | $109.51 | $139.33 | |
Hometown Health
| Professional | $0.85 | $154.26 | $198.70 | |
Hometown Health
| Professional | $0.85 | $118.98 | $178.47 | |
United
| Professional | $70.56 | $179.55 | $263.77 |