| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.70 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $4.05 | $273.43 | $382.80 | |
United
| Facility | $5,270.00 | $7,740.00 | $15,873.00 |