| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $6,165.95 | $9,332.54 | $13,489.63 | |
Hometown Health
| Professional | $14.13 | $1,258.93 | $1,698.24 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |