| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $947.45 | $947.45 | $4,014.43 | |
Anthem BCBS
| Professional | $218.68 | $667.49 | $1,235.51 | |
Hometown Health
| Professional | $6.30 | $299.57 | $995.26 | |
Hometown Health
| Professional | $3.24 | $171.18 | $853.08 | |
United
| Professional | $765.00 | $1,105.03 | $1,444.99 |