| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.26 | $13.26 | $13.26 | |
Aetna
| Professional | $12.78 | $13.26 | $13.58 | |
Anthem BCBS
| Professional | $3.09 | $11.15 | $13.32 | |
Cigna
| Professional | $4.36 | $13.58 | $13.58 | |
Hometown Health
| Professional | $13.26 | $15.98 | $400.00 | |
United
| Professional | $1.33 | $2.17 | $3.81 |