| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.09 | $12.09 | $12.09 | |
Aetna
| Professional | $10.80 | $12.09 | $15.56 | |
Anthem BCBS
| Professional | $13.15 | $13.15 | $25.00 | |
Hometown Health
| Professional | $24.00 | $350.00 | $425.00 |