| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.35 | $45.35 | $48.59 | |
Aetna
| Professional | $45.35 | $45.35 | $49.24 | |
Anthem BCBS
| Professional | $53.99 | $53.99 | $53.99 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |