| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.81 | $64.81 | $90.41 | |
Aetna
| Professional | $64.75 | $99.01 | $280.00 | |
Ambetter
| Professional | $97.72 | $108.71 | $126.43 | |
Anthem BCBS
| Professional | $78.36 | $114.38 | $180.34 | |
Cigna
| Professional | $75.44 | $117.65 | $187.17 | |
Hometown Health
| Professional | $1.10 | $1.10 | $200.00 | |
Hometown Health
| Professional | $1.10 | $1.10 | $1.10 | |
United
| Professional | $95.00 | $123.18 | $218.61 |