| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $16,907.36 | |
Hometown Health
| Professional | $5.28 | $806.26 | $1,889.33 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |