| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $4,168.69 | $6,918.31 | |
Anthem BCBS
| Facility | $4,570.88 | $8,128.31 | $8,128.31 | |
Hometown Health
| Professional | $30.90 | $1,318.26 | $3,801.89 | |
United
| Facility | $2,290.87 | $4,168.69 | $10,715.19 |