| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.45 | $96.45 | $125.13 | |
Aetna
| Professional | $98.34 | $136.94 | $330.62 | |
Ambetter
| Professional | $133.47 | $155.96 | $190.88 | |
Anthem BCBS
| Professional | $116.68 | $159.37 | $254.01 | |
Cigna
| Professional | $112.31 | $165.69 | $258.49 | |
Hometown Health
| Professional | $1.45 | $1.45 | $200.00 | |
Hometown Health
| Professional | $1.45 | $1.45 | $1.45 | |
United
| Professional | $128.02 | $169.92 | $297.36 |