| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.36 | $0.36 | $53.24 | |
Aetna
| Professional | $0.36 | $0.36 | $53.24 | |
Cigna
| Facility | $52.91 | $52.91 | $52.91 | |
Hometown Health
| Professional | $98.34 | $98.34 | $120.69 | |
Hometown Health
| Facility | $58.48 | $58.48 | $58.48 |