| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.79 | |
Aetna
| Professional | $118.13 | $130.08 | $130.79 | |
Ambetter
| Professional | $71.16 | $71.16 | $71.16 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |