| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,677.35 | $10,232.93 | |
Anthem BCBS
| Facility | $7,413.10 | $12,022.64 | $14,454.40 | |
Hometown Health
| Professional | $12.02 | $2,041.74 | $8,511.38 | |
United
| Facility | $3,715.35 | $6,309.57 | $14,791.08 |