| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.64 | $52.64 | $75.43 | |
Aetna
| Professional | $48.82 | $80.95 | $307.99 | |
Ambetter
| Professional | $80.54 | $135.49 | $174.25 | |
Anthem BCBS
| Professional | $59.45 | $89.80 | $149.35 | |
Cigna
| Professional | $60.72 | $95.23 | $154.27 | |
Hometown Health
| Professional | $0.80 | $0.80 | $325.63 | |
Hometown Health
| Professional | $0.80 | $0.80 | $0.80 | |
United
| Professional | $71.73 | $99.05 | $178.29 |