| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.17 | $23.17 | $23.17 | |
Anthem BCBS
| Professional | $22.00 | $32.97 | $48.23 | |
Cigna
| Facility | $93.00 | $93.00 | $93.00 | |
Cigna
| Professional | $16.39 | $70.50 | $93.00 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.40 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.25 |