| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.11 | $230.16 | $1,274.00 | |
Aetna
| Professional | $189.58 | $216.64 | $317.57 | |
Ambetter
| Professional | $262.39 | $262.39 | $262.39 | |
Anthem BCBS
| Professional | $179.29 | $208.36 | $313.01 | |
Cigna
| Professional | $182.77 | $267.76 | $389.82 | |
Hometown Health
| Professional | $178.54 | $231.18 | $311.04 | |
Hometown Health
| Professional | $170.04 | $255.06 | $315.24 | |
United
| Professional | $191.68 | $257.57 | $381.39 |