| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.66 | $1,706.00 | $4,473.00 | |
Aetna
| Professional | $184.97 | $394.16 | $948.82 | |
Ambetter
| Professional | $398.11 | $398.11 | $398.11 | |
Anthem BCBS
| Professional | $173.23 | $340.64 | $548.46 | |
Cigna
| Professional | $168.91 | $332.55 | $647.46 | |
Hometown Health
| Professional | $136.05 | $238.85 | $605.39 | |
Hometown Health
| Professional | $2.10 | $151.16 | $601.38 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 | |
United
| Professional | $347.66 | $406.80 | $711.90 |