| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.43 | $57.81 | $388.86 | |
Aetna
| Professional | $3.25 | $17.12 | $61.09 | |
Ambetter
| Professional | $13.11 | $15.43 | $29.16 | |
Anthem BCBS
| Professional | $13.40 | $14.07 | $16.55 | |
Cigna
| Professional | $14.28 | $14.28 | $14.28 | |
Hometown Health
| Professional | $12.11 | $17.26 | $23.80 | |
Hometown Health
| Professional | $14.25 | $14.25 | $25.89 | |
United
| Professional | $15.19 | $20.58 | $33.31 |