| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.64 | $20.14 | $42.95 | |
Aetna
| Professional | $16.09 | $25.97 | $47.61 | |
Anthem BCBS
| Professional | $15.07 | $26.73 | $50.83 | |
Cigna
| Professional | $17.85 | $30.33 | $61.52 | |
Hometown Health
| Professional | $0.22 | $28.18 | $60.83 | |
Hometown Health
| Facility | $65.65 | $65.65 | $65.65 | |
Hometown Health
| Professional | $0.22 | $24.56 | $65.18 | |
United
| Professional | $27.29 | $38.15 | $64.22 |