| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.37 | $151.37 | $162.18 | |
Aetna
| Professional | $146.19 | $151.37 | $198.40 | |
Anthem BCBS
| Professional | $153.60 | $173.72 | $386.00 | |
Hometown Health
| Professional | $200.00 | $293.00 | $493.00 |