| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.82 | $29.82 | $29.82 | |
Aetna
| Professional | $26.43 | $29.82 | $41.81 | |
Anthem BCBS
| Professional | $5.00 | $10.72 | $46.40 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
Hometown Health
| Facility | $27.07 | $27.07 | $27.07 | |
United
| Professional | $20.96 | $28.17 | $45.85 |