| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.09 | $43.09 | $46.17 | |
Aetna
| Professional | $38.54 | $43.09 | $46.17 | |
Anthem BCBS
| Professional | $49.49 | $49.49 | $55.63 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |