| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.85 | $30.85 | $30.85 | |
Anthem BCBS
| Professional | $6.10 | $6.10 | $26.04 | |
Cigna
| Professional | $102.75 | $128.44 | $130.13 | |
Hometown Health
| Professional | $0.20 | $0.20 | $0.32 | |
Hometown Health
| Professional | $0.20 | $0.20 | $0.20 |