| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $754.27 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $30,452.43 | |
Hometown Health
| Professional | $11.20 | $819.86 | $1,889.33 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |