| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.13 | $37.13 | $37.89 | |
Aetna
| Professional | $12.69 | $27.47 | $37.89 | |
Anthem BCBS
| Professional | $17.80 | $19.20 | $43.27 | |
Cigna
| Professional | $20.57 | $22.09 | $22.09 | |
Hometown Health
| Professional | $18.75 | $56.25 | $75.72 | |
United
| Professional | $15.00 | $15.00 | $15.00 |