| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.16 | $30.16 | $32.31 | |
Aetna
| Professional | $28.58 | $30.16 | $32.31 | |
Anthem BCBS
| Professional | $34.61 | $34.61 | $34.61 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |