| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.50 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $60.92 | $105.50 | $161.34 | |
Anthem BCBS
| Professional | $97.88 | $132.26 | $196.08 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $87.64 | $116.51 | $184.72 |