| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $64.57 | |
Aetna
| Professional | $58.88 | $72.44 | $89.13 | |
Ambetter
| Professional | $74.13 | $74.13 | $74.13 | |
Anthem BCBS
| Professional | $58.88 | $77.62 | $134.90 | |
Cigna
| Professional | $69.18 | $91.20 | $138.04 | |
Hometown Health
| Professional | $64.57 | $87.10 | $123.03 | |
Hometown Health
| Professional | $95.50 | $131.83 | $131.83 | |
Select Health
| Professional | $67.61 | $87.10 | $97.72 | |
United
| Professional | $69.18 | $93.33 | $147.91 |