| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.27 | $12.27 | $12.27 | |
Aetna
| Professional | $11.46 | $16.93 | $20.37 | |
Anthem BCBS
| Professional | $13.50 | $13.50 | $37.00 | |
Hometown Health
| Professional | $57.00 | $350.00 | $425.00 |