| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $977.24 | $2,951.21 | $4,466.84 | |
Hometown Health
| Professional | $3.24 | $275.42 | $398.11 | |
United
| Facility | $1,659.59 | $3,162.28 | $9,120.11 |