| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.47 | $31.00 | $42.92 | |
Aetna
| Professional | $28.91 | $35.93 | $50.44 | |
Ambetter
| Professional | $30.23 | $30.23 | $34.70 | |
Anthem BCBS
| Professional | $20.79 | $30.24 | $57.32 | |
Cigna
| Professional | $20.10 | $28.57 | $28.57 | |
Hometown Health
| Professional | $0.19 | $31.69 | $50.07 | |
Hometown Health
| Professional | $0.12 | $33.00 | $47.54 | |
United
| Professional | $23.87 | $32.22 | $57.96 |