| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.26 | $88.26 | $99.09 | |
Aetna
| Professional | $65.59 | $82.34 | $109.73 | |
Ambetter
| Professional | $66.28 | $82.61 | $107.52 | |
Anthem BCBS
| Professional | $65.95 | $85.85 | $157.96 | |
Cigna
| Professional | $64.00 | $91.00 | $122.36 | |
Hometown Health
| Professional | $0.75 | $81.93 | $110.00 | |
Hometown Health
| Professional | $0.75 | $70.09 | $129.71 | |
United
| Professional | $75.00 | $91.09 | $143.54 |