| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.97 | $17.97 | $17.97 | |
Aetna
| Professional | $8.27 | $10.95 | $18.34 | |
Anthem BCBS
| Professional | $23.65 | $27.83 | $405.00 | |
Cigna
| Professional | $14.57 | $14.57 | $32.54 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
United
| Professional | $7.06 | $11.48 | $20.57 |