| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.33 | $4,396.00 | $12,008.00 | |
Anthem BCBS
| Facility | $8,798.00 | $11,091.00 | $15,434.60 | |
Hometown Health
| Professional | $28.00 | $1,630.08 | $2,377.19 | |
United
| Facility | $1,061.00 | $2,606.00 | $16,648.00 |