| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.40 | $47.35 | $57.53 | |
Aetna
| Professional | $17.91 | $46.40 | $47.35 | |
Ambetter
| Professional | $54.08 | $54.08 | $54.08 | |
Anthem BCBS
| Facility | $54.08 | $54.08 | $54.08 | |
Anthem BCBS
| Professional | $31.07 | $34.94 | $64.90 | |
Cigna
| Facility | $36.21 | $36.21 | $39.81 | |
Cigna
| Professional | $26.43 | $33.90 | $43.67 | |
Hometown Health
| Professional | $30.07 | $40.56 | $85.45 | |
United
| Professional | $19.01 | $24.28 | $40.46 |