| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.00 | $1,639.00 | $10,300.00 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Hometown Health
| Professional | $0.98 | $66.20 | $109.01 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |