| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.26 | $57.26 | $83.38 | |
Aetna
| Professional | $57.20 | $91.99 | $353.81 | |
Ambetter
| Professional | $89.84 | $118.00 | $195.75 | |
Anthem BCBS
| Professional | $68.73 | $105.63 | $161.78 | |
Cigna
| Professional | $68.11 | $108.38 | $171.94 | |
Hometown Health
| Professional | $0.95 | $0.95 | $200.00 | |
Hometown Health
| Professional | $0.95 | $0.95 | $0.95 | |
United
| Professional | $85.39 | $111.95 | $194.29 |