| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.72 | $52.72 | $52.72 | |
Aetna
| Professional | $52.72 | $52.72 | $60.16 | |
Anthem BCBS
| Professional | $35.54 | $60.48 | $86.94 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
United
| Professional | $54.00 | $68.22 | $100.81 |