| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.29 | $26.29 | $28.17 | |
Aetna
| Professional | $24.52 | $26.29 | $28.17 | |
Anthem BCBS
| Professional | $31.15 | $31.15 | $38.51 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $267.14 | $267.14 | $267.14 |