| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.21 | $25.72 | $389.00 | |
Aetna
| Professional | $9.17 | $20.83 | $25.72 | |
Anthem BCBS
| Professional | $13.03 | $13.03 | $29.38 | |
Cigna
| Professional | $14.09 | $15.00 | $15.00 | |
Hometown Health
| Professional | $24.42 | $46.42 | $53.77 | |
United
| Professional | $9.76 | $12.46 | $20.76 |