| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.25 | $275.00 | $413.75 | |
Aetna
| Professional | AA | $146.21 | $529.29 | $529.29 |
Ambetter
| Professional | AA | $100.55 | $100.55 | $300.00 |
Hometown Health
| Professional | $242.60 | $325.00 | $513.20 |