| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.00 | $2,374.87 | $8,722.79 | |
Aetna
| Professional | $2,374.87 | $2,374.87 | $2,374.87 | |
Anthem BCBS
| Professional | $63.13 | $114.10 | $124.22 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |