| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $234.42 | $446.68 | |
Anthem BCBS
| Professional | $16.98 | $23.99 | $40.74 | |
Hometown Health
| Professional | $0.28 | $0.31 | $0.50 | |
Hometown Health
| Professional | $0.31 | $0.31 | $0.31 |