| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.25 | $385.00 | $579.25 | |
Aetna
| Professional | $21.25 | $38.00 | $529.27 | |
Anthem BCBS
| Professional | $249.90 | $305.97 | $509.04 | |
Hometown Health
| Professional | $339.64 | $455.00 | $718.48 | |
United
| Professional | $35.00 | $50.00 | $76.00 |