| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $128.86 | |
Anthem BCBS
| Professional | $37.39 | $64.55 | $88.13 | |
Cigna
| Professional | $51.00 | $86.97 | $161.00 | |
Hometown Health
| Professional | $0.95 | $0.95 | $200.00 | |
Hometown Health
| Professional | $0.95 | $0.95 | $0.95 |