| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.73 | $41.73 | $41.73 | |
Aetna
| Professional | $41.73 | $41.73 | $44.18 | |
Anthem BCBS
| Professional | $54.63 | $97.41 | $139.41 | |
Hometown Health
| Facility | $41.21 | $41.21 | $41.21 | |
United
| Professional | $41.66 | $54.12 | $75.76 |