| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.49 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $343.49 | $343.49 | $491.16 | |
Anthem BCBS
| Facility | $4,432.00 | $6,151.00 | $10,920.00 | |
Anthem BCBS
| Professional | $337.62 | $434.09 | $1,211.29 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
United
| Professional | $334.14 | $430.21 | $608.70 |