| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.04 | $73.16 | $201.64 | |
Aetna
| Professional | $22.81 | $30.61 | $47.57 | |
Ambetter
| Professional | $17.55 | $17.55 | $35.09 | |
Anthem BCBS
| Facility | $15.62 | $35.09 | $43.86 | |
Anthem BCBS
| Professional | $17.32 | $17.32 | $37.44 | |
Cigna
| Facility | $22.81 | $41.06 | $127.05 | |
Cigna
| Professional | $24.12 | $28.95 | $50.88 | |
Hometown Health
| Professional | $11.94 | $11.94 | $36.84 | |
Hometown Health
| Professional | $11.94 | $11.94 | $11.94 | |
United
| Facility | $52.64 | $52.64 | $52.64 | |
United
| Professional | $14.74 | $20.05 | $55.13 |