| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.25 | $47.98 | $53.78 | |
Aetna
| Professional | $22.28 | $26.08 | $119.00 | |
Ambetter
| Professional | $43.22 | $43.22 | $43.22 | |
Anthem BCBS
| Professional | $20.90 | $27.29 | $38.60 | |
Cigna
| Professional | $21.52 | $29.90 | $45.14 | |
Hometown Health
| Professional | $0.25 | $25.00 | $46.86 | |
Hometown Health
| Professional | $0.25 | $23.61 | $35.42 | |
United
| Professional | $22.72 | $30.93 | $48.95 |