| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.88 | $57.88 | $62.02 | |
Aetna
| Professional | $52.85 | $57.88 | $62.02 | |
Anthem BCBS
| Professional | $66.44 | $66.44 | $66.44 | |
Hometown Health
| Professional | $200.00 | $401.29 | $425.00 | |
Hometown Health
| Facility | $364.81 | $1,837.51 | $1,837.51 |