| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.20 | $13.20 | $14.14 | |
Aetna
| Professional | $12.24 | $13.20 | $14.14 | |
Anthem BCBS
| Professional | $15.57 | $15.57 | $20.39 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $97.31 | $97.31 | $97.31 |