| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.10 | $64.73 | $810.77 | |
Aetna
| Professional | $57.34 | $78.83 | $237.04 | |
Ambetter
| Professional | $75.68 | $75.68 | $164.91 | |
Anthem BCBS
| Professional | $49.75 | $72.13 | $102.58 | |
Cigna
| Professional | $63.11 | $83.85 | $130.94 | |
Hometown Health
| Professional | $0.60 | $75.47 | $122.19 | |
Hometown Health
| Professional | 25 | $440.09 | $440.09 | $440.09 |
Hometown Health
| Professional | $0.60 | $69.81 | $104.73 | |
United
| Professional | $55.08 | $81.59 | $135.19 |