| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.72 | $195.64 | $856.84 | |
Aetna
| Professional | $56.75 | $92.72 | $109.50 | |
Anthem BCBS
| Professional | $86.48 | $106.44 | $176.32 | |
Hometown Health
| Facility | $142.46 | $142.46 | $142.46 | |
United
| Professional | $80.55 | $105.05 | $174.97 |