| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.42 | $77.42 | $103.54 | |
Aetna
| Professional | $81.54 | $121.75 | $426.00 | |
Ambetter
| Professional | $110.25 | $129.32 | $143.33 | |
Anthem BCBS
| Professional | $98.21 | $132.76 | $210.65 | |
Cigna
| Professional | $92.01 | $134.07 | $211.65 | |
Hometown Health
| Professional | $1.10 | $1.10 | $200.00 | |
Hometown Health
| Professional | $1.10 | $1.10 | $1.10 | |
United
| Professional | $106.49 | $139.32 | $243.82 |