| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.95 | $98.95 | $98.95 | |
Aetna
| Professional | $55.41 | $98.95 | $155.81 | |
Anthem BCBS
| Professional | $81.28 | $81.28 | $202.11 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
United
| Professional | $67.70 | $90.34 | $141.72 |