| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.12 | $410.24 | $544.71 | |
Aetna
| Professional | $123.45 | $192.60 | $296.30 | |
Ambetter
| Professional | $123.46 | $123.46 | $123.46 | |
Anthem BCBS
| Facility | $109.93 | $246.92 | $308.64 | |
Anthem BCBS
| Professional | $31.98 | $149.38 | $189.63 | |
Cigna
| Facility | $79.16 | $234.33 | $893.99 | |
Cigna
| Professional | $59.04 | $257.63 | $322.02 | |
Hometown Health
| Professional | $53.81 | $246.92 | $246.92 | |
Hometown Health
| Professional | $53.81 | $53.81 | $53.81 | |
United
| Professional | $90.40 | $103.71 | $246.92 |