| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.81 | $159.41 | $691.60 | |
Aetna
| Professional | $32.96 | $74.84 | $157.91 | |
Anthem BCBS
| Professional | $68.58 | $77.66 | $112.12 | |
Hometown Health
| Professional | $30.42 | $30.42 | $350.00 | |
United
| Professional | $69.42 | $95.04 | $144.99 |