| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $0.90 | |
Aetna
| Professional | $0.90 | $0.90 | $6.40 | |
Anthem BCBS
| Professional | $21.97 | $21.97 | $21.97 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |