| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $478.63 | $2,951.21 | $4,466.84 | |
Hometown Health
| Professional | $1.74 | $81.28 | $120.23 | |
United
| Facility | $724.44 | $1,995.26 | $6,309.57 |