| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $4,677.35 | $10,232.93 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $25.70 | $1,737.80 | $8,511.38 | |
United
| Facility | $3,715.35 | $6,309.57 | $26,302.68 |