| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $5,078.00 | $7,046.00 | $16,907.36 | |
Hometown Health
| Professional | $1,349.84 | $2,112.94 | $5,867.10 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |