| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,985.43 | $1,985.43 | $1,985.43 | |
Anthem BCBS
| Facility | $7,526.00 | $9,098.00 | $15,073.00 | |
Anthem BCBS
| Professional | $399.87 | $547.23 | $729.88 | |
Hometown Health
| Professional | $7.41 | $453.86 | $635.41 | |
Hometown Health
| Professional | $5.04 | $363.09 | $544.64 | |
United
| Professional | $402.64 | $494.05 | $717.11 |