| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.25 | $1.25 | $1.25 | |
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
Anthem BCBS
| Professional | $0.85 | $1.00 | $1.00 | |
Cigna
| Professional | $5.40 | $17.00 | $17.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |