| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.21 | $61.21 | $87.07 | |
Aetna
| Professional | $62.86 | $99.37 | $277.82 | |
Ambetter
| Professional | $98.45 | $110.77 | $138.46 | |
Anthem BCBS
| Professional | $78.36 | $114.81 | $170.16 | |
Cigna
| Professional | $73.45 | $114.53 | $179.82 | |
Hometown Health
| Professional | $1.00 | $1.00 | $200.00 | |
Hometown Health
| Professional | $1.00 | $1.00 | $1.00 | |
United
| Professional | $93.98 | $121.36 | $206.64 |