| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.39 | $91.39 | $105.45 | |
Aetna
| Professional | $72.00 | $105.45 | $575.00 | |
Ambetter
| Professional | $200.72 | $200.72 | $200.72 | |
Anthem BCBS
| Facility | $267.62 | $267.62 | $267.62 | |
Anthem BCBS
| Professional | $143.43 | $148.53 | $326.58 | |
Cigna
| Facility | $135.00 | $135.00 | $197.02 | |
Cigna
| Professional | $98.55 | $135.00 | $173.55 | |
Hometown Health
| Professional | $148.82 | $214.10 | $385.37 | |
United
| Professional | $95.68 | $122.20 | $178.81 |