| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $162.18 | |
Aetna
| Professional | $154.88 | $162.18 | $354.81 | |
Ambetter
| Professional | $56.23 | $134.90 | $169.82 | |
Anthem BCBS
| Facility | $173.78 | $173.78 | $537.03 | |
Anthem BCBS
| Professional | $186.21 | $199.53 | $199.53 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Hometown Health
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Professional | $165.96 | $199.53 | $199.53 |