| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.64 | $413.64 | $443.18 | |
Aetna
| Professional | $89.23 | $413.64 | $484.27 | |
Anthem BCBS
| Professional | $106.98 | $474.80 | $474.80 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |