| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.30 | $0.30 | $0.30 | |
Aetna
| Professional | $0.30 | $0.30 | $0.30 | |
Anthem BCBS
| Professional | $3.19 | $5.00 | $5.00 | |
Cigna
| Professional | $2.71 | $2.71 | $2.71 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |