| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.07 | $337.37 | $635.12 | |
Aetna
| Professional | $40.39 | $56.40 | $64.65 | |
Ambetter
| Professional | $31.07 | $31.07 | $37.28 | |
Anthem BCBS
| Facility | $27.66 | $62.14 | $77.68 | |
Anthem BCBS
| Professional | $28.73 | $37.59 | $47.72 | |
Cigna
| Facility | $40.39 | $72.70 | $224.97 | |
Cigna
| Professional | $38.04 | $71.45 | $89.31 | |
Hometown Health
| Professional | $19.95 | $62.14 | $65.25 | |
Hometown Health
| Professional | $19.95 | $19.95 | $19.95 | |
United
| Facility | $93.21 | $93.21 | $93.21 | |
United
| Professional | $26.10 | $33.52 | $71.83 |