| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.14 | $38.27 | $53.27 | |
Aetna
| Professional | $20.14 | $20.62 | $1,280.00 | |
Anthem BCBS
| Facility | $17.98 | $20.63 | $62.68 | |
Anthem BCBS
| Professional | $19.64 | $20.62 | $20.62 | |
Hometown Health
| Professional | $24.26 | $24.26 | $24.26 | |
United
| Professional | $19.64 | $19.64 | $19.89 |