| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.60 | $180.71 | $1,062.78 | |
Anthem BCBS
| Professional | $170.81 | $250.23 | $296.33 | |
Cigna
| Professional | $150.88 | $150.88 | $172.47 | |
Hometown Health
| Professional | $0.85 | $196.68 | $273.70 | |
Hometown Health
| Professional | $0.85 | $163.90 | $245.85 | |
United
| Professional | $92.22 | $247.66 | $373.32 |