| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.77 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $211.63 | $277.93 | $297.77 | |
Anthem BCBS
| Professional | $319.07 | $319.07 | $502.80 | |
Hometown Health
| Professional | $200.00 | $425.00 | $757.14 | |
Hometown Health
| Facility | $688.31 | $1,637.08 | $1,637.08 |