| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.72 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $46.53 | $52.72 | $61.13 | |
Anthem BCBS
| Professional | $34.15 | $51.01 | $82.83 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
United
| Professional | $48.00 | $64.50 | $104.99 |