| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.01 | $350.01 | $375.01 | |
Aetna
| Professional | $300.10 | $350.01 | $436.96 | |
Anthem BCBS
| Professional | $401.78 | $401.78 | $673.00 | |
Hometown Health
| Professional | $200.00 | $3,108.13 | $3,956.54 | |
Hometown Health
| Facility | $3,159.35 | $6,537.87 | $6,537.87 |