| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $32.36 | $40.74 | |
Aetna
| Professional | $25.12 | $36.31 | $69.18 | |
Aetna
| Professional | 25 | $37.15 | $37.15 | $51.29 |
Ambetter
| Professional | $37.15 | $44.67 | $50.12 | |
Ambetter
| Professional | 25 | $44.67 | $44.67 | $44.67 |
Anthem BCBS
| Professional | $27.54 | $39.81 | $66.07 | |
Cigna
| Professional | $28.84 | $40.74 | $58.88 | |
Hometown Health
| Professional | $26.92 | $40.74 | $64.57 | |
Hometown Health
| Professional | $45.71 | $75.86 | $75.86 | |
Select Health
| Professional | $31.62 | $50.12 | $53.70 | |
United
| Professional | $27.54 | $39.81 | $67.61 |