| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $81.28 | $87.10 | |
Aetna
| Professional | $58.88 | $75.86 | $102.33 | |
Ambetter
| Professional | $69.18 | $69.18 | $69.18 | |
Anthem BCBS
| Professional | $52.48 | $72.44 | $123.03 | |
Cigna
| Professional | $57.54 | $83.18 | $117.49 | |
Hometown Health
| Professional | $0.76 | $79.43 | $97.72 | |
Hometown Health
| Professional | $0.76 | $91.20 | $112.20 | |
Select Health
| Professional | $61.66 | $75.86 | $107.15 | |
United
| Professional | $67.61 | $89.13 | $134.90 |