| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $3.24 | $281.84 | $380.19 | |
United
| Facility | $5,128.61 | $7,762.47 | $16,218.10 |