| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $24.54 | $38.61 | |
Anthem BCBS
| Professional | $23.11 | $46.62 | $75.00 | |
Cigna
| Professional | $20.57 | $37.69 | $113.94 | |
Hometown Health
| Professional | $0.24 | $36.34 | $67.43 | |
Hometown Health
| Professional | $0.24 | $40.38 | $60.57 | |
United
| Professional | $27.29 | $38.65 | $48.00 |