| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.19 | $11.19 | $11.19 | |
Aetna
| Professional | $5.21 | $6.91 | $11.42 | |
Anthem BCBS
| Professional | $3.00 | $10.52 | $405.00 | |
Cigna
| Professional | $9.07 | $9.07 | $20.77 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
United
| Professional | $4.38 | $7.15 | $12.95 |