| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.85 | $90.85 | $105.06 | |
Aetna
| Professional | $68.69 | $85.23 | $113.64 | |
Ambetter
| Professional | $192.36 | $192.36 | $192.36 | |
Anthem BCBS
| Professional | $67.94 | $91.54 | $125.64 | |
Cigna
| Professional | $68.00 | $95.67 | $131.00 | |
Hometown Health
| Professional | $1.36 | $86.18 | $113.48 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
Hometown Health
| Professional | $71.81 | $75.98 | $88.28 | |
United
| Professional | $88.32 | $104.23 | $173.89 |