| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.10 | $96.10 | $98.73 | |
Aetna
| Professional | $69.12 | $96.10 | $100.23 | |
Ambetter
| Professional | $71.16 | $75.00 | $92.40 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |