| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $173.78 | $562.34 | |
Aetna
| Professional | $8.91 | $10.00 | $14.13 | |
Anthem BCBS
| Professional | $10.00 | $14.79 | $25.12 | |
Cigna
| Professional | $11.48 | $11.48 | $22.39 | |
Hometown Health
| Professional | $0.18 | $0.18 | $0.18 | |
Hometown Health
| Professional | $0.18 | $0.18 | $0.18 | |
United
| Professional | $9.77 | $17.38 | $18.20 |