| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.35 | $63.00 | $126.00 | |
Anthem BCBS
| Professional | $13.39 | $17.53 | $23.45 | |
Cigna
| Professional | $12.87 | $12.87 | $23.33 | |
Hometown Health
| Professional | $0.13 | $12.98 | $21.68 | |
Hometown Health
| Professional | $0.13 | $11.59 | $19.47 | |
United
| Professional | $13.30 | $22.74 | $36.47 |