| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $70.79 | $72.44 | |
Aetna
| Professional | $61.66 | $70.79 | $89.13 | |
Ambetter
| Professional | $63.10 | $79.43 | $89.13 | |
Anthem BCBS
| Professional | $61.66 | $83.18 | $138.04 | |
Cigna
| Professional | $74.13 | $91.20 | $141.25 | |
Hometown Health
| Professional | $1.05 | $83.18 | $114.82 | |
Hometown Health
| Professional | $1.05 | $97.72 | $131.83 | |
Select Health
| Professional | $69.18 | $89.13 | $100.00 | |
United
| Professional | $67.61 | $91.20 | $147.91 |