| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.28 | $334.66 | $757.26 | |
Aetna
| Professional | $11.59 | $18.98 | $128.66 | |
Ambetter
| Professional | $10.69 | $11.49 | $25.04 | |
Anthem BCBS
| Professional | $11.97 | $21.84 | $26.50 | |
Cigna
| Professional | $11.83 | $41.47 | $71.26 | |
Hometown Health
| Professional | $0.10 | $18.32 | $82.10 | |
Hometown Health
| Professional | $0.07 | $16.29 | $76.97 | |
United
| Professional | $47.19 | $63.20 | $111.54 |