| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $8,613.28 | |
Hometown Health
| Professional | $2.65 | $37.34 | $55.59 | |
United
| Facility | $5,270.00 | $7,740.00 | $15,873.00 |