| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.54 | $30.54 | $42.00 | |
Anthem BCBS
| Professional | $13.28 | $22.45 | $34.36 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Hometown Health
| Professional | $0.28 | $0.31 | $5.58 | |
Hometown Health
| Professional | $0.31 | $0.31 | $0.31 |