| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.63 | $180.21 | $214.18 | |
Aetna
| Professional | $125.64 | $199.15 | $464.91 | |
Ambetter
| Professional | $165.82 | $165.82 | $361.32 | |
Anthem BCBS
| Professional | $140.44 | $199.22 | $285.35 | |
Cigna
| Professional | $160.63 | $228.53 | $336.90 | |
Hometown Health
| Professional | $1.43 | $193.42 | $292.52 | |
Hometown Health
| Professional | 25 | $933.35 | $933.35 | $933.35 |
Hometown Health
| Professional | $1.43 | $154.78 | $300.00 | |
United
| Professional | $154.94 | $228.40 | $378.42 |