| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $10.00 | $12.02 | $19.05 | |
Ambetter
| Professional | $10.00 | $11.48 | $18.62 | |
Anthem BCBS
| Professional | $9.12 | $12.30 | $20.42 | |
Cigna
| Professional | $10.47 | $13.18 | $19.95 | |
Hometown Health
| Professional | $0.15 | $11.75 | $18.62 | |
Hometown Health
| Professional | $0.15 | $0.15 | $17.38 | |
Select Health
| Professional | $10.96 | $11.75 | $17.78 | |
United
| Professional | $9.77 | $13.49 | $20.89 |