| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.38 | $87.38 | $112.42 | |
Aetna
| Professional | $66.65 | $90.83 | $121.12 | |
Ambetter
| Professional | $93.28 | $93.28 | $203.26 | |
Anthem BCBS
| Professional | $65.38 | $91.45 | $155.75 | |
Cigna
| Professional | $69.00 | $102.00 | $130.11 | |
Hometown Health
| Professional | $0.75 | $84.44 | $117.34 | |
Hometown Health
| Professional | $0.75 | $70.37 | $146.66 | |
United
| Professional | $90.88 | $107.54 | $159.21 |