| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,020.03 | $4,396.00 | $24,093.60 | |
Aetna
| Facility | 53 | $400.16 | $400.16 | $404.01 |
Anthem BCBS
| Facility | $1,317.38 | $4,559.00 | $6,006.00 | |
Hometown Health
| Professional | $32.00 | $1,958.74 | $2,695.46 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |