| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.84 | $358.07 | $605.57 | |
Aetna
| Professional | $24.73 | $37.71 | $71.01 | |
Ambetter
| Professional | $37.85 | $37.85 | $37.85 | |
Anthem BCBS
| Professional | $19.30 | $31.19 | $56.61 | |
Cigna
| Professional | $13.92 | $21.50 | $36.31 | |
Hometown Health
| Professional | $0.40 | $33.29 | $65.18 | |
Hometown Health
| Facility | $219.60 | $219.60 | $219.60 | |
Hometown Health
| Professional | $0.25 | $23.56 | $42.00 | |
United
| Professional | $32.97 | $44.20 | $47.57 |