| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.52 | $174.52 | $186.98 | |
Aetna
| Professional | $73.12 | $174.52 | $193.86 | |
Anthem BCBS
| Professional | $94.57 | $200.37 | $200.37 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |