| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.81 | $64.81 | $87.34 | |
Aetna
| Professional | $64.81 | $98.09 | $366.00 | |
Ambetter
| Professional | $93.60 | $110.12 | $157.47 | |
Anthem BCBS
| Professional | $78.36 | $110.02 | $178.56 | |
Cigna
| Professional | $75.44 | $113.77 | $180.72 | |
Hometown Health
| Professional | $0.95 | $0.95 | $200.00 | |
Hometown Health
| Professional | $0.95 | $0.95 | $0.95 | |
United
| Professional | $86.70 | $117.72 | $207.91 |