| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.66 | $1,713.00 | $10,300.00 | |
Anthem BCBS
| Facility | $511.13 | $3,921.00 | $5,258.00 | |
Hometown Health
| Professional | $15.60 | $845.16 | $1,232.53 | |
United
| Facility | $200.00 | $1,427.00 | $25,275.00 |