| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $16,907.36 | |
Hometown Health
| Professional | $41.68 | $1,836.56 | $5,625.32 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |