| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.49 | $50.49 | $50.49 | |
Aetna
| Professional | $50.49 | $50.49 | $55.53 | |
Anthem BCBS
| Facility | $191.00 | $283.00 | $874.00 | |
Anthem BCBS
| Professional | $13.98 | $16.93 | $20.91 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 | |
Hometown Health
| Facility | $50.99 | $50.99 | $50.99 |