| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $19.95 | $25.70 | $61.66 | |
Anthem BCBS
| Professional | $26.30 | $26.30 | $66.07 | |
Hometown Health
| Professional | $77.62 | $77.62 | $77.62 | |
Select Health
| Professional | $44.67 | $44.67 | $46.77 |