| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.91 | $65.91 | $376.39 | |
Anthem BCBS
| Professional | $55.43 | $75.62 | $119.67 | |
Hometown Health
| Professional | $0.54 | $0.60 | $10.80 | |
Hometown Health
| Facility | $470.61 | $470.61 | $470.61 | |
Hometown Health
| Professional | $0.60 | $0.60 | $0.60 |