| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $1,584.89 | $5,011.87 | |
Aetna
| Professional | $10.47 | $26.30 | $61.66 | |
Ambetter
| Professional | $32.36 | $32.36 | $32.36 | |
Anthem BCBS
| Professional | $10.96 | $28.18 | $64.57 | |
Cigna
| Professional | $9.33 | $21.88 | $52.48 | |
Hometown Health
| Professional | $0.89 | $28.18 | $74.13 | |
Hometown Health
| Professional | $0.71 | $32.36 | $70.79 | |
Select Health
| Professional | $21.38 | $44.67 | $50.12 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 | |
United
| Professional | $22.91 | $46.77 | $81.28 |