| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.51 | $16.51 | $17.69 | |
Aetna
| Professional | $13.92 | $16.51 | $18.22 | |
Anthem BCBS
| Professional | $19.38 | $19.38 | $37.00 | |
Hometown Health
| Professional | $200.00 | $200.00 | $425.00 |