| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.15 | $21.15 | $21.66 | |
Aetna
| Professional | $20.38 | $21.15 | $21.66 | |
Anthem BCBS
| Professional | $15.93 | $15.93 | $19.11 | |
Hometown Health
| Professional | $21.15 | $25.48 | $150.00 | |
United
| Professional | $25.48 | $25.48 | $31.85 |