| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
Anthem BCBS
| Professional | $30.11 | $30.11 | $247.25 | |
Hometown Health
| Professional | $200.00 | $200.00 | $425.00 |