| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.44 | $68.44 | $68.44 | |
Aetna
| Professional | $68.44 | $68.44 | $76.48 | |
Anthem BCBS
| Professional | $61.23 | $77.70 | $111.21 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
United
| Professional | $54.00 | $70.58 | $115.04 |