| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.62 | $279.31 | $1,274.00 | |
Aetna
| Professional | $230.20 | $263.04 | $325.23 | |
Ambetter
| Professional | $241.65 | $241.65 | $241.65 | |
Anthem BCBS
| Professional | $218.69 | $253.25 | $379.98 | |
Cigna
| Professional | $223.70 | $324.92 | $474.25 | |
Hometown Health
| Professional | $222.28 | $287.66 | $379.19 | |
Hometown Health
| Professional | $212.02 | $318.02 | $392.27 | |
United
| Professional | $243.46 | $315.19 | $485.79 |