| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.46 | $73.06 | $81.92 | |
Aetna
| Professional | $33.50 | $64.40 | $254.00 | |
Ambetter
| Professional | $31.48 | $31.48 | $39.57 | |
Anthem BCBS
| Professional | $31.07 | $68.12 | $88.88 | |
Cigna
| Professional | $39.04 | $59.61 | $93.90 | |
Hometown Health
| Professional | $0.53 | $42.96 | $84.00 | |
Hometown Health
| Professional | $0.53 | $35.79 | $53.70 | |
United
| Professional | $35.97 | $64.26 | $101.76 |