| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $446.00 | $446.00 | $446.00 | |
Hometown Health
| Professional | $2.56 | $196.33 | $287.95 | |
United
| Facility | $200.00 | $1,427.00 | $2,116.00 |