| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $3,959.00 | $48,000.00 | |
Anthem BCBS
| Facility | $6,996.00 | $11,963.00 | $43,524.48 | |
Hometown Health
| Professional | $33.60 | $2,360.05 | $16,003.94 | |
United
| Facility | $3,163.00 | $6,491.00 | $14,434.00 |