| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $213.80 | $213.80 | |
Aetna
| Professional | $186.21 | $213.80 | $281.84 | |
Ambetter
| Professional | $177.83 | $213.80 | $245.47 | |
Anthem BCBS
| Professional | $169.82 | $229.09 | $371.54 | |
Cigna
| Professional | $199.53 | $263.03 | $389.05 | |
Hometown Health
| Professional | $181.97 | $239.88 | $323.59 | |
Hometown Health
| Professional | $263.03 | $323.59 | $323.59 | |
Select Health
| Professional | $173.78 | $218.78 | $380.19 | |
United
| Professional | $186.21 | $257.04 | $371.54 |