| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.50 | $85.50 | $85.50 | |
Aetna
| Professional | $85.50 | $85.50 | $634.00 | |
Anthem BCBS
| Professional | $15.00 | $15.00 | $32.00 | |
Hometown Health
| Professional | $130.00 | $350.00 | $493.00 |