| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $30.75 | |
Aetna
| Professional | $30.75 | $30.75 | $58.40 | |
Anthem BCBS
| Professional | $31.00 | $31.74 | $36.00 | |
Hometown Health
| Professional | $0.47 | $47.00 | $190.00 | |
United
| Professional | $24.28 | $24.28 | $27.44 |