| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.68 | $23.68 | $23.68 | |
Anthem BCBS
| Professional | $24.73 | $26.04 | $39.46 | |
Cigna
| Facility | $113.00 | $113.00 | $113.00 | |
Cigna
| Professional | $70.50 | $75.72 | $88.13 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.40 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.25 |