| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.70 | $35.70 | $38.25 | |
Aetna
| Professional | $32.57 | $47.90 | $53.50 | |
Anthem BCBS
| Professional | $42.22 | $42.22 | $56.10 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 | |
Hometown Health
| Facility | $267.14 | $267.14 | $267.14 |