| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.16 | $143.16 | $143.16 | |
Anthem BCBS
| Professional | $28.65 | $34.77 | $48.63 | |
Hometown Health
| Professional | $0.59 | $47.69 | $69.55 | |
Hometown Health
| Professional | $0.59 | $39.74 | $59.61 | |
United
| Professional | $27.60 | $34.96 | $70.56 |