| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.25 | $110.40 | $463.00 | |
Ambetter
| Professional | $63.33 | $63.33 | $78.31 | |
Anthem BCBS
| Professional | $69.06 | $89.91 | $134.50 | |
Cigna
| Professional | $78.92 | $111.69 | $191.53 | |
Hometown Health
| Professional | $2.00 | $84.44 | $125.00 | |
Hometown Health
| Professional | $2.00 | $70.37 | $105.56 | |
United
| Professional | $77.19 | $125.44 | $197.18 |