| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.48 | $286.00 | $286.00 | |
Ambetter
| Facility | $127.67 | $167.44 | $245.00 | |
Anthem BCBS
| Facility | $149.00 | $209.00 | $437.00 | |
Cigna
| Facility | $72.00 | $75.00 | $125.00 | |
Hometown Health
| Facility | $40.00 | $100.00 | $200.00 |