| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.95 | $35.95 | $36.68 | |
Aetna
| Professional | $12.88 | $28.31 | $36.68 | |
Anthem BCBS
| Professional | $15.12 | $15.12 | $40.90 | |
Cigna
| Professional | $17.09 | $17.09 | $46.99 | |
Hometown Health
| Professional | $34.83 | $66.19 | $76.66 | |
United
| Professional | $13.91 | $17.77 | $28.79 |