| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $8,617.00 | $10,455.00 | |
Anthem BCBS
| Facility | $3,072.00 | $3,921.00 | $5,714.18 | |
Hometown Health
| Professional | $190.00 | $239.09 | $309.93 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |