| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,396.00 | $21,757.01 | |
Anthem BCBS
| Facility | $4,244.00 | $6,006.00 | $43,524.48 | |
Hometown Health
| Professional | $22.40 | $1,715.61 | $23,088.67 | |
United
| Facility | $3,163.00 | $6,619.00 | $25,275.00 |