| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.11 | $36.56 | $52.78 | |
Ambetter
| Professional | $40.35 | $40.35 | $40.35 | |
Anthem BCBS
| Professional | $25.01 | $39.64 | $62.80 | |
Cigna
| Professional | $26.39 | $47.62 | $74.27 | |
Hometown Health
| Professional | $0.40 | $46.10 | $68.56 | |
Hometown Health
| Facility | $32.92 | $32.92 | $32.92 | |
Hometown Health
| Professional | $38.42 | $41.15 | $52.80 | |
United
| Professional | $43.04 | $58.05 | $97.30 |