| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.93 | $1,042.00 | $1,274.00 | |
Aetna
| Professional | $225.58 | $253.75 | $310.55 | |
Ambetter
| Professional | $244.06 | $262.43 | $262.43 | |
Anthem BCBS
| Professional | $231.49 | $370.85 | $559.58 | |
Cigna
| Professional | $254.56 | $341.30 | $495.31 | |
Hometown Health
| Professional | $190.00 | $340.52 | $493.00 | |
Hometown Health
| Facility | $172.92 | $172.92 | $172.92 | |
United
| Professional | $224.42 | $301.56 | $464.78 |