| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $794.33 | $794.33 | |
Aetna
| Professional | $100.00 | $691.83 | $891.25 | |
Ambetter
| Professional | $70.79 | $74.13 | $1,023.29 | |
Anthem BCBS
| Professional | $20.42 | $169.82 | $645.65 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Hometown Health
| Professional | $91.20 | $1,174.90 | $1,778.28 | |
Hometown Health
| Professional | $125.89 | $1,584.89 | $1,584.89 | |
Select Health
| Professional | $83.18 | $977.24 | $1,380.38 | |
United
| Professional | $616.60 | $912.01 | $1,445.44 |