| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $52.48 | $95.50 | |
Ambetter
| Professional | $43.65 | $60.26 | $104.71 | |
Anthem BCBS
| Professional | $36.31 | $54.95 | $89.13 | |
Cigna
| Professional | $42.66 | $64.57 | $104.71 | |
Hometown Health
| Professional | $0.55 | $60.26 | $79.43 | |
Hometown Health
| Professional | $0.55 | $53.70 | $91.20 | |
Select Health
| Professional | $38.90 | $56.23 | $64.57 | |
United
| Professional | $41.69 | $61.66 | $100.00 |