| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.62 | $131.37 | $770.21 | |
Anthem BCBS
| Professional | $124.14 | $201.06 | $215.36 | |
Cigna
| Professional | $108.92 | $108.92 | $138.62 | |
Hometown Health
| Professional | $0.95 | $153.46 | $197.63 | |
Hometown Health
| Professional | $0.95 | $118.34 | $177.51 | |
United
| Professional | $78.26 | $179.55 | $265.73 |