| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.56 | $121.56 | $122.42 | |
Aetna
| Professional | $99.10 | $122.42 | $124.87 | |
Ambetter
| Professional | $112.80 | $112.80 | $112.80 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |