| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.96 | $0.96 | $0.96 | |
Aetna
| Professional | $0.96 | $0.96 | $0.96 | |
Anthem BCBS
| Professional | $0.26 | $0.26 | $65.70 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
United
| Professional | $0.56 | $0.56 | $0.56 |