| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $16.98 | $25.12 | $34.67 | |
Ambetter
| Professional | $29.51 | $29.51 | $41.69 | |
Anthem BCBS
| Professional | $18.20 | $28.84 | $190.55 | |
Cigna
| Professional | $19.50 | $20.89 | $32.36 | |
Hometown Health
| Professional | $33.88 | $47.86 | $72.44 | |
Select Health
| Professional | $40.74 | $41.69 | $41.69 | |
United
| Professional | $13.49 | $21.38 | $41.69 |