| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $15.85 | $15.85 | $17.38 | |
Ambetter
| Professional | $11.22 | $11.22 | $11.22 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $14.79 | $14.79 | $14.79 | |
Hometown Health
| Professional | $0.15 | $0.15 | $0.15 | |
Select Health
| Professional | $12.88 | $12.88 | $12.88 | |
United
| Professional | $13.49 | $13.49 | $16.22 |