| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $25.11 | $36.31 | |
Anthem BCBS
| Professional | $28.07 | $42.96 | $75.00 | |
Cigna
| Professional | $19.86 | $35.75 | $113.94 | |
Hometown Health
| Professional | $0.25 | $36.75 | $62.96 | |
Hometown Health
| Professional | $0.25 | $37.70 | $56.55 | |
United
| Professional | $29.75 | $39.34 | $49.92 |