| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.53 | $94.05 | $126.01 | |
Ambetter
| Professional | $67.31 | $98.68 | $98.68 | |
Anthem BCBS
| Professional | $69.93 | $90.12 | $113.70 | |
Cigna
| Professional | $69.42 | $88.00 | $148.57 | |
Hometown Health
| Professional | $75.23 | $107.47 | $137.05 | |
Hometown Health
| Facility | $102.23 | $102.23 | $102.23 | |
Hometown Health
| Professional | $86.39 | $86.74 | $130.11 | |
United
| Professional | $74.98 | $99.72 | $168.57 |