| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $35.00 | |
Ambetter
| Professional | $40.00 | $50.00 | $50.00 | |
Anthem BCBS
| Professional | $17.62 | $42.78 | $742.84 | |
Cigna
| Facility | $45.00 | $60.00 | $60.00 | |
Cigna
| Professional | $45.00 | $55.00 | $62.50 | |
Hometown Health
| Professional | $75.00 | $75.00 | $75.00 |