| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $6,165.95 | $9,549.93 | $13,489.63 | |
Hometown Health
| Professional | $11.22 | $1,584.89 | $2,290.87 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |