| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.98 | $14.22 | $18.23 | |
Ambetter
| Professional | $30.38 | $30.38 | $30.38 | |
Anthem BCBS
| Professional | $7.83 | $18.21 | $30.80 | |
Cigna
| Professional | $10.00 | $10.00 | $37.89 | |
Hometown Health
| Professional | $0.18 | $0.20 | $20.00 | |
Hometown Health
| Facility | $102.23 | $102.23 | $102.23 | |
Hometown Health
| Professional | $0.20 | $0.20 | $0.20 | |
United
| Professional | $40.92 | $50.60 | $84.32 |