| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $87.10 | $107.15 | |
Anthem BCBS
| Professional | $63.10 | $63.10 | $134.90 | |
Cigna
| Professional | $50.12 | $50.12 | $107.15 | |
Hometown Health
| Professional | $125.89 | $165.96 | $223.87 | |
Select Health
| Professional | $104.71 | $114.82 | $125.89 | |
United
| Professional | $44.67 | $52.48 | $102.33 |