| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.00 | $3,959.00 | $25,956.00 | |
Anthem BCBS
| Facility | $3,214.00 | $4,740.00 | $43,524.48 | |
Hometown Health
| Professional | $26.00 | $1,494.08 | $10,585.20 | |
United
| Facility | $3,163.00 | $6,619.00 | $25,275.00 |