| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.20 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $61.49 | $106.20 | $163.36 | |
Anthem BCBS
| Professional | $98.17 | $131.87 | $196.08 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $88.60 | $120.32 | $181.97 |