| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $16,907.36 | |
Hometown Health
| Professional | $17.60 | $612.20 | $1,889.33 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |