| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.72 | $86.72 | $977.10 | |
Aetna
| Professional | $15.53 | $71.72 | $146.34 | |
Ambetter
| Professional | $10.76 | $10.76 | $10.76 | |
Anthem BCBS
| Facility | $7.98 | $17.93 | $22.41 | |
Anthem BCBS
| Professional | $8.86 | $10.84 | $13.16 | |
Cigna
| Facility | $11.65 | $20.97 | $64.89 | |
Cigna
| Professional | $13.50 | $20.65 | $25.81 | |
Hometown Health
| Professional | $0.17 | $17.93 | $18.82 | |
Hometown Health
| Professional | $5.75 | $5.75 | $5.75 | |
United
| Professional | $7.53 | $10.76 | $26.90 |