| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.32 | $53.43 | $233.99 | |
Aetna
| Professional | $10.22 | $19.30 | $25.32 | |
Anthem BCBS
| Professional | $21.25 | $36.19 | $59.55 | |
Cigna
| Professional | $17.35 | $17.35 | $17.50 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
United
| Professional | $7.06 | $9.60 | $17.73 |