| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,959.00 | $48,000.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $30,452.43 | |
Hometown Health
| Professional | $14.40 | $939.29 | $5,759.14 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |