| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.33 | $34.49 | $34.49 | |
Aetna
| Professional | $33.33 | $34.49 | $34.49 | |
Anthem BCBS
| Professional | $17.95 | $22.73 | $22.73 | |
Cigna
| Professional | $2.02 | $2.02 | $244.80 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |