| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.59 | $66.59 | $89.14 | |
Aetna
| Professional | $68.40 | $106.20 | $381.00 | |
Ambetter
| Professional | $96.26 | $113.25 | $161.94 | |
Anthem BCBS
| Professional | $79.14 | $110.85 | $185.43 | |
Cigna
| Professional | $77.59 | $115.68 | $184.27 | |
Hometown Health
| Professional | $1.00 | $1.00 | $350.00 | |
Hometown Health
| Professional | $1.00 | $1.00 | $1.00 | |
United
| Professional | $87.40 | $119.88 | $212.94 |