| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.03 | |
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $3.02 | $4.55 | $5.55 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 |