| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Aetna
| Professional | $76.29 | $97.28 | $375.27 | |
Anthem BCBS
| Professional | $89.87 | $120.73 | $196.08 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $78.95 | $105.27 | $165.80 |