| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $9,062.92 | |
Hometown Health
| Professional | $36.00 | $2,412.10 | $3,048.89 | |
United
| Facility | $1,282.00 | $2,940.00 | $7,138.00 |