| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.26 | $57.26 | $80.06 | |
Aetna
| Professional | $56.80 | $88.79 | $260.58 | |
Ambetter
| Professional | $85.71 | $144.19 | $144.19 | |
Anthem BCBS
| Professional | $68.73 | $99.33 | $159.25 | |
Cigna
| Professional | $68.11 | $103.72 | $164.58 | |
Hometown Health
| Professional | $0.85 | $0.85 | $200.00 | |
Hometown Health
| Professional | $0.85 | $0.85 | $0.85 | |
United
| Professional | $77.70 | $107.43 | $189.64 |