| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $28.80 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |