| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.04 | $26.54 | $36.47 | |
Anthem BCBS
| Professional | $7.83 | $24.38 | $85.71 | |
Cigna
| Professional | $19.00 | $19.00 | $31.20 | |
Hometown Health
| Professional | $34.75 | $37.32 | $110.00 | |
Hometown Health
| Facility | $32.92 | $32.92 | $32.92 | |
United
| Professional | $5.28 | $8.82 | $26.32 |