| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.45 | $884.10 | $1,702.74 | |
Aetna
| Professional | $71.81 | $321.26 | $638.40 | |
Ambetter
| Professional | $269.29 | $359.05 | $446.60 | |
Anthem BCBS
| Professional | $297.61 | $321.26 | $321.26 | |
Hometown Health
| Professional | $312.50 | $312.50 | $312.50 | |
United
| Professional | $341.10 | $359.05 | $359.05 |