| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.66 | $92.99 | $110.21 | |
Aetna
| Professional | $77.95 | $114.79 | $338.00 | |
Ambetter
| Professional | $113.00 | $113.00 | $246.23 | |
Anthem BCBS
| Professional | $70.72 | $103.56 | $147.40 | |
Cigna
| Professional | $86.96 | $120.00 | $188.07 | |
Hometown Health
| Professional | $1.00 | $108.85 | $185.33 | |
Hometown Health
| Professional | 25 | $626.77 | $626.77 | $626.77 |
Hometown Health
| Professional | $1.00 | $105.90 | $158.85 | |
United
| Professional | $78.04 | $113.65 | $194.84 |