| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.65 | $8.65 | $8.65 | |
Aetna
| Professional | $7.87 | $8.65 | $13.37 | |
Anthem BCBS
| Professional | $60.83 | $68.92 | $102.46 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
United
| Facility | $19.05 | $19.05 | $19.05 | |
United
| Professional | $7.11 | $8.39 | $16.44 |