| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.76 | $184.69 | $612.00 | |
Ambetter
| Professional | $114.46 | $117.17 | $158.16 | |
Anthem BCBS
| Professional | $135.97 | $215.85 | $265.14 | |
Cigna
| Professional | $126.79 | $175.94 | $249.11 | |
Hometown Health
| Professional | $1.40 | $152.94 | $230.09 | |
Hometown Health
| Professional | $1.40 | $117.17 | $199.50 | |
United
| Professional | $123.35 | $180.83 | $270.20 |