| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.01 | $26.01 | $26.01 | |
Aetna
| Professional | $22.96 | $26.01 | $29.07 | |
Anthem BCBS
| Professional | $23.24 | $28.50 | $39.15 | |
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 | $22.08 | $29.62 | $46.92 |