| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $120.23 | $741.31 | |
Aetna
| Professional | $114.82 | $120.23 | $123.03 | |
Anthem BCBS
| Professional | $44.67 | $123.03 | $147.91 | |
Hometown Health
| Professional | $102.33 | $144.54 | $144.54 | |
Select Health
| Professional | $144.54 | $144.54 | $144.54 |