| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $16,907.36 | |
Hometown Health
| Professional | $29.36 | $2,653.75 | $4,244.76 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |