| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.40 | $15.40 | $15.40 | |
Anthem BCBS
| Professional | $16.20 | $22.11 | $31.60 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.40 | |
Hometown Health
| Professional | $0.25 | $0.25 | $0.25 |