| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.64 | $2,472.00 | $5,923.00 | |
Anthem BCBS
| Facility | $510.00 | $510.00 | $510.00 | |
Hometown Health
| Professional | $111.09 | $196.81 | $345.88 | |
United
| Facility | $200.00 | $1,754.00 | $2,625.00 |