| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.18 | $20.18 | $21.62 | |
Aetna
| Professional | $20.18 | $20.32 | $22.51 | |
Anthem BCBS
| Professional | $18.97 | $23.88 | $23.88 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $97.31 | $97.31 | $97.31 |