| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.88 | $46.49 | $63.74 | |
Aetna
| Professional | $32.43 | $45.09 | $74.80 | |
Aetna
| Professional | 25 | $78.05 | $78.05 | $78.05 |
Anthem BCBS
| Professional | $38.79 | $52.32 | $83.10 | |
Cigna
| Professional | $30.71 | $49.23 | $78.78 | |
Hometown Health
| Professional | $0.35 | $52.04 | $93.37 | |
Hometown Health
| Professional | $0.35 | $43.37 | $116.72 | |
United
| Professional | $38.44 | $51.96 | $103.07 |