| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.03 | |
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Ambetter
| Professional | $4.05 | $4.05 | $4.05 | |
Anthem BCBS
| Professional | $8.93 | $13.51 | $17.14 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 | |
United
| Professional | $9.58 | $10.16 | $24.18 |