| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $302.00 | $691.83 | |
Aetna
| Professional | $25.70 | $39.81 | $74.13 | |
Ambetter
| Professional | $18.20 | $19.95 | $32.36 | |
Anthem BCBS
| Professional | $21.38 | $36.31 | $74.13 | |
Cigna
| Professional | $20.42 | $25.12 | $42.66 | |
Hometown Health
| Professional | $0.35 | $42.66 | $77.62 | |
Hometown Health
| Professional | $0.28 | $34.67 | $75.86 | |
Select Health
| Professional | $22.91 | $47.86 | $57.54 | |
United
| Professional | $26.92 | $38.02 | $52.48 |