| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.97 | $67.39 | $292.39 | |
Aetna
| Professional | $31.64 | $39.86 | $665.12 | |
Anthem BCBS
| Professional | $28.89 | $34.45 | $76.68 | |
Hometown Health
| Professional | $350.00 | $456.08 | $456.08 | |
Hometown Health
| Facility | $1,050.47 | $1,050.47 | $1,050.47 | |
United
| Professional | $32.20 | $43.58 | $83.71 |