| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.00 | $3,929.00 | $7,802.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $30,452.43 | |
Hometown Health
| Professional | $20.80 | $1,719.97 | $7,815.71 | |
United
| Facility | $2,818.00 | $4,776.00 | $11,845.00 |