| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,150.00 | $2,472.00 | $4,730.00 | |
Anthem BCBS
| Facility | $510.00 | $510.00 | $510.00 | |
Hometown Health
| Professional | $93.53 | $169.65 | $301.12 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |