| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.11 | $36.11 | $72.34 | |
Aetna
| Professional | $36.11 | $36.11 | $81.19 | |
Anthem BCBS
| Professional | $30.00 | $84.40 | $84.40 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 | |
Hometown Health
| Facility | $93.16 | $93.16 | $93.16 |