| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
Ambetter
| Professional | $33.02 | $33.02 | $33.02 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Hometown Health
| Professional | $100.00 | $202.65 | $202.65 |