| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.79 | $26.78 | $57.42 | |
Aetna
| Professional | $21.89 | $47.06 | $70.06 | |
Anthem BCBS
| Professional | $21.20 | $39.96 | $71.44 | |
Cigna
| Professional | $23.76 | $50.51 | $86.78 | |
Hometown Health
| Professional | $0.25 | $34.11 | $82.47 | |
Hometown Health
| Facility | $43.38 | $43.38 | $43.38 | |
Hometown Health
| Professional | $0.25 | $21.84 | $82.47 | |
United
| Professional | $45.27 | $57.24 | $94.77 |