| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Professional | $1.10 | $1.30 | $225.00 | |
Cigna
| Professional | $5.49 | $5.49 | $5.49 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |