| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.13 | $49.13 | $49.13 | |
Aetna
| Professional | $41.00 | $49.13 | $55.33 | |
Anthem BCBS
| Professional | $34.15 | $50.78 | $70.43 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
Hometown Health
| Facility | $27.07 | $27.07 | $27.07 | |
United
| Professional | $39.47 | $52.79 | $87.12 |