| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.68 | $1,639.00 | $4,396.00 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Hometown Health
| Professional | $34.88 | $61.23 | $114.48 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 |