| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.05 | $145.05 | $155.41 | |
Aetna
| Professional | $143.13 | $145.05 | $155.41 | |
Anthem BCBS
| Professional | $158.32 | $166.46 | $166.46 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |