| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.05 | $23.99 | |
Anthem BCBS
| Professional | $4.79 | $7.08 | $26.92 | |
Cigna
| Professional | $19.05 | $19.95 | $58.88 | |
Hometown Health
| Professional | $0.27 | $0.30 | $5.37 | |
Hometown Health
| Professional | $0.30 | $0.30 | $0.30 | |
Select Health
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Professional | $18.62 | $26.30 | $50.12 |