| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $1.70 | $2.00 | $46.29 | |
Cigna
| Professional | $13.99 | $13.99 | $64.15 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
United
| Professional | $21.57 | $35.08 | $61.70 |