| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $20.83 | $29.28 | |
Aetna
| Professional | $20.83 | $20.83 | $29.28 | |
Anthem BCBS
| Professional | $13.77 | $80.38 | $135.00 | |
Cigna
| Facility | $55.00 | $60.00 | $70.00 | |
Cigna
| Professional | $115.50 | $115.50 | $115.50 | |
Hometown Health
| Professional | $1.00 | $1.00 | $100.00 | |
Hometown Health
| Professional | $1.00 | $1.00 | $1.00 |