| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $64.57 | $64.57 | |
Anthem BCBS
| Professional | $19.95 | $81.28 | $162.18 | |
Cigna
| Professional | $27.54 | $27.54 | $27.54 | |
Hometown Health
| Professional | $0.81 | $0.89 | $1.45 | |
Hometown Health
| Professional | $0.89 | $0.89 | $0.89 |