| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,083.45 | $1,083.45 | $10,435.50 | |
Anthem BCBS
| Professional | $250.09 | $1,328.72 | $3,533.39 | |
Hometown Health
| Professional | $7.12 | $341.18 | $2,806.68 | |
Hometown Health
| Professional | $3.66 | $194.96 | $1,726.20 | |
United
| Professional | $1,861.94 | $2,933.58 | $3,949.92 |