| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $4.25 | $5.00 | $8.32 | |
Cigna
| Professional | $9.36 | $9.36 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |