| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.35 | $5.80 | $58.05 | |
Aetna
| Professional | $4.66 | $6.79 | $65.59 | |
Ambetter
| Professional | $4.61 | $5.01 | $6.35 | |
Anthem BCBS
| Professional | $5.43 | $50.50 | $112.39 | |
Cigna
| Professional | $50.59 | $50.59 | $65.27 | |
Hometown Health
| Professional | $0.09 | $9.32 | $100.05 | |
Hometown Health
| Professional | $0.06 | $5.18 | $100.05 | |
United
| Professional | $52.80 | $68.80 | $106.03 |