| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.27 | $31.27 | $31.27 | |
Aetna
| Professional | $24.71 | $30.10 | $165.73 | |
Anthem BCBS
| Professional | $18.86 | $27.21 | $49.89 | |
Cigna
| Professional | $13.99 | $39.79 | $158.19 | |
Hometown Health
| Professional | $0.50 | $33.29 | $59.17 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
Hometown Health
| Professional | $0.50 | $31.00 | $52.58 | |
United
| Professional | $22.63 | $31.18 | $54.19 |