| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $32.00 | $75.25 | |
Aetna
| Professional | 25 | $140.71 | $140.71 | $140.71 |
Anthem BCBS
| Professional | $17.89 | $27.13 | $32.92 | |
Cigna
| Professional | $20.23 | $20.23 | $40.00 | |
Hometown Health
| Professional | $13.08 | $13.08 | $190.00 | |
Hometown Health
| Professional | $20.00 | $20.00 | $33.00 | |
United
| Professional | $9.39 | $14.44 | $26.61 |