| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.31 | $353.77 | $1,534.85 | |
Aetna
| Professional | $166.09 | $209.27 | $711.39 | |
Anthem BCBS
| Professional | $137.81 | $151.44 | $306.74 | |
Hometown Health
| Professional | $350.00 | $487.81 | $487.81 | |
United
| Professional | $167.30 | $210.32 | $363.29 |