| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,358.93 | $1,399.43 | $1,692.17 | |
Anthem BCBS
| Professional | $47.93 | $1,342.67 | $1,449.22 | |
Hometown Health
| Professional | $100.00 | $110.00 | $350.00 | |
United
| Professional | $1,342.67 | $1,342.67 | $1,342.67 |