| 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 | $5.62 | $851.14 | $4,677.35 | |
United
| Facility | $2,951.21 | $4,786.30 | $12,022.64 |