| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.85 | $34.52 | $138.59 | |
Aetna
| Professional | 52 | $8.23 | $10.76 | $20.23 |
Anthem BCBS
| Professional | $18.19 | $24.99 | $34.92 | |
Cigna
| Professional | $52.05 | $64.00 | $75.48 | |
Hometown Health
| Professional | $0.78 | $21.60 | $100.00 | |
Hometown Health
| Professional | $0.78 | $17.42 | $27.00 | |
United
| Professional | $20.26 | $37.18 | $57.59 |