| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $11.96 | $56.00 | $132.00 | |
Anthem BCBS
| Professional | $13.50 | $14.41 | $17.48 | |
Cigna
| Professional | $10.47 | $10.47 | $19.32 | |
Hometown Health
| Professional | $8.36 | $13.08 | $13.20 | |
Hometown Health
| Professional | $8.63 | $8.63 | $12.95 | |
United
| Professional | $8.65 | $12.99 | $16.75 |