| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.27 | $19.27 | $19.27 | |
Anthem BCBS
| Professional | $17.34 | $27.44 | $34.02 | |
Cigna
| Professional | $68.79 | $68.79 | $176.25 | |
Hometown Health
| Professional | $0.20 | $0.20 | $0.32 | |
Hometown Health
| Professional | $0.20 | $0.20 | $0.20 |