| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.65 | $44.94 | $62.56 | |
Aetna
| Professional | $22.79 | $23.65 | $24.22 | |
Anthem BCBS
| Professional | $4.04 | $4.04 | $24.65 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 | |
Hometown Health
| Professional | $25.64 | $28.49 | $200.00 |