| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.24 | $575.28 | $575.28 | |
Aetna
| Professional | $575.28 | $575.28 | $575.28 | |
Anthem BCBS
| Professional | $810.05 | $810.05 | $810.05 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |