| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $45.71 | $60.26 | |
Aetna
| Professional | $25.12 | $42.66 | $67.61 | |
Aetna
| Professional | 25 | $77.62 | $77.62 | $77.62 |
Ambetter
| Professional | $46.77 | $67.61 | $75.86 | |
Anthem BCBS
| Professional | $43.65 | $56.23 | $93.33 | |
Cigna
| Professional | $29.51 | $52.48 | $83.18 | |
Hometown Health
| Professional | $0.35 | $56.23 | $100.00 | |
Hometown Health
| Professional | $0.35 | $64.57 | $117.49 | |
Select Health
| Professional | $44.67 | $75.86 | $81.28 | |
United
| Professional | $25.12 | $46.77 | $91.20 |