| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.80 | $252.90 | $1,374.64 | |
Ambetter
| Professional | $204.67 | $204.67 | $217.27 | |
Anthem BCBS
| Professional | $226.69 | $296.54 | $393.27 | |
Cigna
| Professional | $199.98 | $199.98 | $255.49 | |
Hometown Health
| Professional | $1.89 | $260.72 | $362.84 | |
Hometown Health
| Professional | $1.89 | $217.27 | $325.91 | |
United
| Professional | $102.80 | $328.86 | $495.71 |