| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $17.78 | $30.12 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
Anthem BCBS
| Professional | $17.17 | $33.96 | $75.00 | |
Cigna
| Professional | $17.00 | $30.17 | $111.17 | |
Hometown Health
| Professional | $0.28 | $28.21 | $50.13 | |
Hometown Health
| Professional | $0.28 | $29.69 | $44.54 | |
United
| Professional | $20.52 | $27.26 | $35.19 |