| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $2,472.00 | $5,923.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $16,907.36 | |
Hometown Health
| Professional | $10.16 | $999.99 | $5,812.16 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |