| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.95 | $17.95 | $18.39 | |
Aetna
| Professional | $17.30 | $17.95 | $18.39 | |
Anthem BCBS
| Professional | $18.39 | $18.39 | $18.57 | |
Cigna
| Facility | $18.39 | $18.39 | $18.39 | |
Cigna
| Professional | $18.39 | $18.39 | $18.39 | |
Hometown Health
| Professional | $19.47 | $21.63 | $200.00 |