| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $12.68 | |
Aetna
| Professional | $10.00 | $25.00 | $32.79 | |
Anthem BCBS
| Professional | $7.00 | $7.00 | $7.00 | |
Cigna
| Professional | $8.50 | $8.50 | $12.03 | |
Hometown Health
| Professional | $1.00 | $125.00 | $425.00 |