| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.47 | $65.47 | $70.15 | |
Aetna
| Professional | $63.79 | $65.47 | $70.15 | |
Anthem BCBS
| Professional | $75.09 | $75.09 | $75.09 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |