| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.09 | $122.09 | $130.81 | |
Aetna
| Professional | $117.25 | $122.09 | $130.81 | |
Anthem BCBS
| Professional | $140.16 | $140.16 | $140.16 | |
Hometown Health
| Professional | $200.00 | $401.29 | $425.00 | |
Hometown Health
| Facility | $364.81 | $1,837.51 | $1,837.51 |