| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $3,939.00 | $11,835.00 | |
Anthem BCBS
| Facility | $5,078.00 | $7,046.00 | $15,434.60 | |
Hometown Health
| Professional | $28.80 | $2,791.13 | $4,070.40 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |