| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $44.18 | |
Aetna
| Professional | $17.86 | $17.86 | $44.18 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $17.86 | $17.86 | $17.86 | |
Hometown Health
| Professional | $14.59 | $14.59 | $14.59 | |
United
| Professional | $19.96 | $21.01 | $21.01 |