| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.32 | $45.93 | $68.28 | |
Anthem BCBS
| Professional | $32.92 | $50.88 | $73.89 | |
Cigna
| Professional | $49.99 | $49.99 | $59.43 | |
Hometown Health
| Professional | $33.40 | $55.65 | $75.09 | |
Hometown Health
| Facility | $102.23 | $102.23 | $102.23 | |
Hometown Health
| Professional | $33.40 | $36.67 | $54.14 | |
United
| Professional | $60.80 | $76.00 | $129.19 |