| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $331.13 | |
Aetna
| Professional | $288.40 | $331.13 | $426.58 | |
Ambetter
| Professional | $275.42 | $309.03 | $323.59 | |
Anthem BCBS
| Professional | $263.03 | $354.81 | $575.44 | |
Cigna
| Professional | $309.03 | $407.38 | $602.56 | |
Hometown Health
| Professional | $281.84 | $363.08 | $501.19 | |
Hometown Health
| Professional | $407.38 | $501.19 | $501.19 | |
Select Health
| Professional | $269.15 | $331.13 | $588.84 | |
United
| Professional | $288.40 | $398.11 | $575.44 |