| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.80 | $64.80 | $86.62 | |
Anthem BCBS
| Professional | $75.52 | $92.38 | $140.43 | |
Cigna
| Professional | $27.79 | $27.79 | $27.79 | |
Hometown Health
| Professional | $0.81 | $0.90 | $16.20 | |
Hometown Health
| Professional | $0.90 | $0.90 | $0.90 |