| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.25 | $29.25 | $29.25 | |
Anthem BCBS
| Professional | $30.00 | $35.38 | $48.98 | |
Hometown Health
| Professional | $0.30 | $0.30 | $100.00 | |
United
| Professional | $29.88 | $36.04 | $69.01 |