| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.35 | $145.00 | $748.74 | |
Aetna
| Professional | $116.00 | $120.35 | $123.25 | |
Anthem BCBS
| Professional | $123.25 | $123.25 | $124.48 | |
Hometown Health
| Professional | $125.00 | $145.00 | $200.00 |