| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.34 | $174.25 | $1,274.00 | |
Aetna
| Professional | $145.24 | $162.72 | $247.18 | |
Ambetter
| Professional | $332.14 | $332.14 | $332.14 | |
Anthem BCBS
| Professional | $136.61 | $155.65 | $237.22 | |
Cigna
| Professional | $138.77 | $203.05 | $292.91 | |
Hometown Health
| Professional | $139.31 | $179.20 | $242.39 | |
Hometown Health
| Professional | $132.68 | $199.02 | $245.67 | |
United
| Professional | $149.22 | $200.20 | $301.55 |