| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $25.90 | |
Aetna
| Professional | $0.12 | $0.12 | $25.90 | |
Anthem BCBS
| Professional | $1.00 | $40.00 | $40.00 | |
Cigna
| Professional | $11.01 | $11.01 | $16.54 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |