| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.28 | $69.29 | $72.38 | |
Anthem BCBS
| Professional | $42.13 | $51.10 | $77.68 | |
Hometown Health
| Professional | $1.12 | $1.25 | $22.50 | |
Hometown Health
| Professional | $1.25 | $1.25 | $1.25 |