| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,561.65 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,218.00 | |
Hometown Health
| Professional | $19.39 | $1,509.99 | $2,113.98 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |