| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.95 | $84.95 | $84.95 | |
Aetna
| Professional | $84.19 | $84.95 | $125.20 | |
Ambetter
| Professional | $60.00 | $60.00 | $60.00 | |
Anthem BCBS
| Professional | $40.17 | $70.79 | $158.81 | |
Cigna
| Professional | $63.00 | $84.00 | $157.66 | |
Hometown Health
| Professional | $1.30 | $1.30 | $200.00 | |
Hometown Health
| Professional | $1.30 | $1.30 | $1.30 |