| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.66 | $17.66 | $22.84 | |
Aetna
| Professional | $17.66 | $17.66 | $22.84 | |
Anthem BCBS
| Professional | $76.00 | $76.00 | $76.00 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |