| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.72 | $44.01 | $70.75 | |
Aetna
| Professional | $52.24 | $58.96 | $68.51 | |
Anthem BCBS
| Professional | $70.38 | $3,710.68 | $6,565.30 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
United
| Professional | $55.28 | $72.23 | $117.60 |