| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.25 | $74.25 | $100.11 | |
Aetna
| Professional | $76.25 | $126.51 | $415.00 | |
Ambetter
| Professional | $106.68 | $125.50 | $159.35 | |
Anthem BCBS
| Professional | $88.63 | $125.21 | $201.60 | |
Cigna
| Professional | $84.96 | $130.00 | $205.75 | |
Hometown Health
| Professional | $1.30 | $1.30 | $350.00 | |
Hometown Health
| Professional | $1.30 | $1.30 | $1.30 | |
United
| Professional | $101.55 | $135.00 | $247.53 |