| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.02 | $46.52 | $80.43 | |
Aetna
| Professional | $24.16 | $48.69 | $80.43 | |
Cigna
| Professional | $50.29 | $50.29 | $53.06 | |
Hometown Health
| Professional | $0.33 | $0.33 | $54.31 | |
Hometown Health
| Professional | $0.33 | $0.33 | $0.33 | |
United
| Professional | $57.35 | $66.59 | $122.61 |