| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,060.57 | $1,060.57 | $1,060.57 | |
Aetna
| Professional | $433.77 | $1,060.57 | $1,060.57 | |
Anthem BCBS
| Facility | $462.00 | $462.00 | $551.00 | |
Anthem BCBS
| Professional | $55.43 | $79.70 | $140.40 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |