| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.04 | $3.04 | $3.04 | |
Aetna
| Professional | $3.04 | $20.00 | $26.47 | |
Anthem BCBS
| Professional | $3.00 | $16.00 | $18.39 | |
Cigna
| Professional | $7.16 | $8.32 | $8.32 | |
Hometown Health
| Professional | $100.00 | $350.00 | $425.00 | |
United
| Professional | $14.19 | $18.30 | $29.60 |