| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.57 | $32.10 | $159.00 | |
Anthem BCBS
| Professional | $10.94 | $35.44 | $48.78 | |
Cigna
| Professional | $21.11 | $26.93 | $45.86 | |
Hometown Health
| Professional | $0.32 | $36.00 | $58.99 | |
Hometown Health
| Professional | $0.24 | $28.74 | $50.57 | |
United
| Professional | $25.39 | $32.21 | $49.77 |