| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.00 | $3,959.00 | $24,000.00 | |
Anthem BCBS
| Facility | $7,526.00 | $13,212.00 | $43,524.48 | |
Hometown Health
| Professional | $20.80 | $1,499.50 | $15,050.67 | |
United
| Facility | $3,163.00 | $6,619.00 | $25,275.00 |