| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.28 | $64.28 | $64.28 | |
Aetna
| Professional | $45.59 | $64.28 | $72.43 | |
Anthem BCBS
| Professional | $52.02 | $69.36 | $96.84 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 | |
United
| Professional | $43.89 | $59.85 | $101.09 |