| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.01 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $1,317.38 | $4,559.00 | $6,006.00 | |
Hometown Health
| Professional | $5.29 | $256.95 | $358.80 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |