| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.25 | $0.25 | $0.25 | |
Aetna
| Professional | $0.25 | $0.25 | $0.25 | |
Anthem BCBS
| Professional | $0.74 | $1.00 | $1.00 | |
Cigna
| Professional | $1.01 | $1.01 | $21.06 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |