| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.86 | $502.86 | $502.86 | |
Aetna
| Professional | $297.06 | $297.06 | $297.06 | |
Anthem BCBS
| Professional | $440.33 | $99,999.99 | $99,999.99 | |
Hometown Health
| Professional | $1,270.73 | $1,270.73 | $1,651.94 | |
United
| Professional | $583.57 | $583.57 | $855.82 |