| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $722.50 | $1,639.00 | $4,396.00 | |
Anthem BCBS
| Facility | $15,455.00 | $19,318.00 | $27,140.00 | |
Hometown Health
| Professional | $7.77 | $375.54 | $597.45 | |
United
| Facility | $2,042.00 | $4,794.00 | $10,407.00 |