| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.15 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $11.88 | $15.15 | $17.66 | |
Anthem BCBS
| Professional | $17.64 | $22.64 | $96.40 | |
Hometown Health
| Professional | $200.00 | $200.00 | $200.00 | |
United
| Professional | $6.00 | $6.93 | $9.86 |