| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,997.88 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $7,526.00 | $9,098.00 | $15,073.00 | |
Hometown Health
| Professional | $38.19 | $1,989.46 | $2,785.25 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |