| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,880.00 | $3,929.00 | $7,802.00 | |
Anthem BCBS
| Facility | $3,072.00 | $4,217.00 | $30,452.43 | |
Hometown Health
| Professional | $11.20 | $811.75 | $4,244.76 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |