| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $23.99 | $33.11 | |
Aetna
| Professional | 50 | $107.15 | $107.15 | $107.15 |
Ambetter
| Professional | $23.99 | $25.12 | $48.98 | |
Anthem BCBS
| Professional | $18.62 | $24.55 | $39.81 | |
Cigna
| Professional | $19.05 | $25.70 | $40.74 | |
Hometown Health
| Professional | $22.39 | $28.18 | $43.65 | |
Select Health
| Professional | $23.99 | $25.70 | $38.02 | |
United
| Professional | $20.42 | $25.12 | $39.81 |