| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.28 | $18.07 | $137.74 | |
Anthem BCBS
| Professional | $29.99 | $44.48 | $106.75 | |
Cigna
| Professional | $19.00 | $19.00 | $38.00 | |
Hometown Health
| Professional | $56.35 | $60.52 | $110.00 | |
Hometown Health
| Facility | $32.92 | $32.92 | $32.92 | |
United
| Professional | $23.82 | $131.94 | $221.45 |