| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $20.47 | $23.44 | $34.24 | |
Anthem BCBS
| Professional | $27.34 | $27.34 | $83.00 | |
Hometown Health
| Professional | $68.00 | $350.00 | $425.00 | |
Hometown Health
| Facility | $142.41 | $142.41 | $142.41 |