| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $1,698.24 | $5,011.87 | |
Aetna
| Professional | $70.79 | $389.05 | $2,344.23 | |
Ambetter
| Professional | $66.07 | $125.89 | $338.84 | |
Anthem BCBS
| Professional | $89.13 | $338.84 | $691.83 | |
Cigna
| Professional | $79.43 | $446.68 | $660.69 | |
Hometown Health
| Professional | $0.81 | $407.38 | $602.56 | |
Hometown Health
| Professional | $0.54 | $95.50 | $537.03 | |
Select Health
| Professional | $64.57 | $354.81 | $354.81 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 | |
United
| Professional | $83.18 | $389.05 | $794.33 |