| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.75 | $31.51 | $41.06 | |
Anthem BCBS
| Professional | $25.05 | $32.88 | $41.93 | |
Cigna
| Professional | $26.56 | $30.95 | $32.36 | |
Hometown Health
| Professional | $0.35 | $34.47 | $45.94 | |
Hometown Health
| Facility | $32.92 | $32.92 | $32.92 | |
Hometown Health
| Professional | $28.73 | $30.48 | $33.39 | |
United
| Professional | $29.58 | $37.72 | $69.36 |