| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $3,981.07 | $7,762.47 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $20.42 | $1,412.54 | $6,025.60 | |
United
| Facility | $2,290.87 | $3,548.13 | $10,715.19 |