| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.11 | $109.75 | $141.44 | |
Ambetter
| Professional | $87.08 | $116.76 | $116.76 | |
Anthem BCBS
| Professional | $87.34 | $115.66 | $207.31 | |
Cigna
| Professional | $85.74 | $119.00 | $160.94 | |
Hometown Health
| Professional | $1.36 | $113.90 | $154.31 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
Hometown Health
| Professional | $99.04 | $105.44 | $116.76 | |
United
| Professional | $111.54 | $132.33 | $226.45 |