| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.29 | $10.29 | $11.02 | |
Aetna
| Professional | $10.29 | $10.57 | $11.46 | |
Anthem BCBS
| Professional | $9.82 | $12.11 | $12.75 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $97.31 | $97.31 | $97.31 |