| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.34 | $70.30 | $78.00 | |
Aetna
| Professional | $62.01 | $71.79 | $86.70 | |
Ambetter
| Professional | $69.41 | $69.41 | $69.41 | |
Anthem BCBS
| Professional | $61.54 | $81.23 | $105.71 | |
Cigna
| Professional | $65.26 | $87.64 | $141.97 | |
Hometown Health
| Professional | $1.05 | $75.33 | $110.89 | |
Hometown Health
| Professional | $1.05 | $64.98 | $133.07 | |
United
| Professional | $69.59 | $88.54 | $154.41 |