| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.00 | $3,929.00 | $7,998.40 | |
Anthem BCBS
| Facility | $6,093.00 | $10,593.00 | $30,452.43 | |
Hometown Health
| Professional | $23.60 | $1,254.99 | $16,110.16 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |