| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $4,630.00 | $6,974.00 | |
Anthem BCBS
| Facility | $3,158.86 | $3,921.00 | $5,886.97 | |
Hometown Health
| Professional | $3.62 | $172.81 | $312.99 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |