| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $22.91 | $22.91 | |
Anthem BCBS
| Professional | $19.95 | $24.55 | $60.26 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $70.79 | $75.86 | $112.20 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.40 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.25 |