| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.05 | $21.05 | $22.56 | |
Aetna
| Professional | $20.32 | $21.05 | $22.81 | |
Anthem BCBS
| Professional | $22.36 | $24.92 | $27.20 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $267.14 | $267.14 | $267.14 |