| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.41 | $117.41 | $145.07 | |
Aetna
| Professional | $90.92 | $119.72 | $155.46 | |
Ambetter
| Professional | $105.97 | $124.68 | $271.68 | |
Anthem BCBS
| Professional | $87.84 | $124.58 | $203.24 | |
Cigna
| Professional | $92.00 | $134.00 | $168.94 | |
Hometown Health
| Professional | $1.36 | $117.78 | $152.36 | |
Hometown Health
| Facility | $586.41 | $586.41 | $586.41 | |
Hometown Health
| Professional | $98.15 | $102.36 | $124.68 | |
United
| Professional | $123.58 | $146.91 | $253.26 |