| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.75 | $273.75 | $293.30 | |
Aetna
| Professional | $267.66 | $273.75 | $293.30 | |
Anthem BCBS
| Professional | $314.22 | $314.22 | $314.22 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
Hometown Health
| Facility | $1,837.51 | $1,837.51 | $1,837.51 |