| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.15 | $40.15 | $40.15 | |
Aetna
| Professional | $25.08 | $48.19 | $89.26 | |
Anthem BCBS
| Professional | $43.95 | $43.95 | $110.00 | |
Hometown Health
| Professional | $80.00 | $350.00 | $425.00 |