| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.20 | $26.60 | $47.62 | |
Aetna
| Professional | $21.60 | $24.24 | $31.40 | |
Anthem BCBS
| Professional | $23.16 | $26.53 | $44.94 | |
Cigna
| Professional | $21.97 | $44.04 | $44.04 | |
Hometown Health
| Professional | $0.13 | $30.41 | $62.16 | |
Hometown Health
| Professional | $0.13 | $23.39 | $77.70 | |
United
| Professional | $21.50 | $30.24 | $54.71 |