| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $5.82 | $133.66 | |
Aetna
| Professional | $0.02 | $0.02 | $0.08 | |
Ambetter
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $0.02 | $0.02 | $0.14 | |
Hometown Health
| Professional | $0.02 | $0.02 | $0.14 | |
United
| Professional | $0.02 | $4.88 | $5.15 |