| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,630.18 | $35,256.62 | $42,247.50 | |
Aetna
| Professional | $1,630.18 | $1,630.18 | $1,630.18 | |
Anthem BCBS
| Professional | $20.01 | $20.01 | $20.01 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |