| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,867.48 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $5,088.00 | $6,151.00 | $13,808.43 | |
Hometown Health
| Professional | $24.56 | $1,836.68 | $2,678.50 | |
United
| Facility | $3,163.00 | $6,491.00 | $14,434.00 |