| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.16 | $65.16 | $171.37 | |
Aetna
| Professional | $37.31 | $65.16 | $99.54 | |
Anthem BCBS
| Professional | $99.37 | $117.20 | $196.44 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
United
| Professional | $54.57 | $69.29 | $116.43 |