| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,089.30 | $5,011.87 | |
Anthem BCBS
| Facility | $7,413.10 | $12,022.64 | $14,454.40 | |
Hometown Health
| Professional | $6.61 | $537.03 | $851.14 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 |