| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.04 | $58.98 | $66.12 | |
Aetna
| Professional | $27.73 | $33.79 | $147.00 | |
Ambetter
| Professional | $25.50 | $25.50 | $41.91 | |
Anthem BCBS
| Professional | $25.06 | $35.47 | $52.67 | |
Cigna
| Professional | $27.12 | $36.08 | $55.87 | |
Hometown Health
| Professional | $0.30 | $31.83 | $55.15 | |
Hometown Health
| Professional | $0.30 | $29.18 | $43.77 | |
United
| Professional | $29.82 | $41.28 | $62.79 |