| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $147.91 | $501.19 | |
Aetna
| Professional | $66.07 | $81.28 | $218.78 | |
Ambetter
| Professional | $33.11 | $64.57 | $114.82 | |
Anthem BCBS
| Facility | $31.62 | $58.88 | $169.82 | |
Anthem BCBS
| Professional | $19.95 | $30.90 | $42.66 | |
Cigna
| Facility | $34.67 | $74.13 | $83.18 | |
Cigna
| Professional | $56.23 | $85.11 | $102.33 | |
Hometown Health
| Professional | $63.10 | $63.10 | $74.13 | |
United
| Facility | $20.89 | $20.89 | $21.38 | |
United
| Professional | $32.36 | $36.31 | $87.10 |