| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.83 | $52.83 | $56.60 | |
Aetna
| Professional | $48.62 | $56.60 | $64.79 | |
Anthem BCBS
| Professional | $44.00 | $61.95 | $61.95 | |
Hometown Health
| Professional | $200.00 | $200.00 | $425.00 |