| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.97 | $180.38 | $1,055.01 | |
Anthem BCBS
| Professional | $170.49 | $277.14 | $295.77 | |
Cigna
| Professional | $152.07 | $152.07 | $191.00 | |
Hometown Health
| Professional | $0.95 | $211.46 | $275.87 | |
Hometown Health
| Professional | $0.95 | $165.19 | $247.79 | |
United
| Professional | $115.10 | $245.86 | $370.60 |