| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.28 | $24.28 | $26.52 | |
Aetna
| Professional | $21.69 | $25.01 | $38.70 | |
Ambetter
| Professional | $19.07 | $19.07 | $19.07 | |
Anthem BCBS
| Professional | $0.74 | $25.80 | $42.68 | |
Cigna
| Professional | $21.54 | $28.82 | $46.48 | |
Hometown Health
| Professional | $0.30 | $27.44 | $39.42 | |
Hometown Health
| Professional | $0.30 | $29.90 | $37.43 | |
United
| Professional | $22.19 | $28.42 | $50.10 |