| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.93 | $202.57 | $792.05 | |
Aetna
| Professional | $157.46 | $160.26 | $228.76 | |
Ambetter
| Professional | $164.80 | $164.80 | $164.80 | |
Anthem BCBS
| Professional | $154.07 | $235.76 | $371.90 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
Hometown Health
| Facility | $366.58 | $366.58 | $366.58 | |
United
| Professional | $164.32 | $254.59 | $352.50 |